Consent by parent—Florida. 

[Caption of court and matter]

Stepparent Adoption: Consent and Waiver by Parent

1. I, _________[full legal name], am the [3 one only] ( ) father or ( ) mother of the above-named child (children), who was (were) born on _________[date], at _________[city, county, and state]. I relinquish all rights to and custody of this (these) minor child (children), _________[name(s)], and consent to the adoption by Petitioner, _________[name] with full knowledge of the legal effect of the stepparent adoption.

2. I understand my legal rights as a parent, and I understand that I do not have to sign this consent and release of my parental rights. I acknowledge that this consent is being given knowingly, freely, and voluntarily. I further acknowledge that my consent is not given under fraud or duress. I understand that there is no "grace period" in Florida during which I may revoke my consent. I understand that, in signing this consent, I am permanently and forever giving up all my parental rights to and interest in this (these) child (children). I voluntarily, permanently relinquish all my parental rights to this (these) child (children).

3. I understand pursuant to section 63.182, Florida Statutes, that: "After one year of the entry of judgment of adoption, any irregularity or procedural defect in the proceedings is cured, and the validity of the judgment of adoption shall not be subject to direct collateral attack because of any irregularity or procedural defect. Any defect or irregularity of, or objection to, a consent that could have been cured had it been made during the proceedings shall not be questioned after the time for taking an appeal has expired."

4. I consent, release, and give up permanently, of my own free will, my parental rights to this (these) child (children), for the purpose of adoption.

5. I waive any further notice of this adoption proceeding.

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this consent and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

Dated: _________

_______________

[Signature of Parent]

Printed Name: _________

Address: _________

City, State, Zip: _________

Telephone Number: _________

Fax Number: _________

_______________

[Signature of Witness]

Printed Name: _________

Business Address: _________

Home Address: _________

Social Security Number: _________

_______________

[Signature of Witness]

Printed Name: _________

Business Address: _________

Home Address: _________

Social Security Number: _________

[Acknowledgment]