H105 091 2026

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Begin with Part I by entering the child's name before adoption, followed by the names of the biological parents. Ensure accuracy as this information is crucial for identification.
In Part II, provide details about the place of birth, including city, county, and state. Fill in the file number and full name of the child along with their date of birth.
Next, complete the adoptive parents' section by entering their full names, social security numbers, and birthplaces. Indicate their prior relationship to the child.
Fill out the mailing address for adoptive parents at the time of adoption and specify if it is a single-parent adoption.
In Part III, include details about the attorney handling the adoption, such as their name and contact information.
Finally, in Part IV, certify that all information is correct and sign where indicated. Make sure to check if it’s based on a foreign decree.

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