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Form 9-102.9 – Attorney Affidavit as to Consent of a Parent to Adoption

May 13, 2021 | Family Law, Maryland

1. I am the attorney representing __________, a parent of __________, the child who is the subject of the consent.
2. The parent, at the time of the signing of the consent, was ___ years old. The parent’s date of birth is ________________________________________.
3. (Check one of the following)

[ ] The parent is not disabled or is disabled but the disability does not affect the parent’s ability to understand the meaning of the consent to adoption.

OR

[ ] The parent is a minor or has a disability that could affect the parent’s ability to understand the meaning of the consent to adoption. The disability is __________. Despite the parent’s age or disability, I believe that the parent understood the meaning of consenting to adoption. The following additional steps were taken to ensure that the parent understood the meaning of the consent form prior to signing it: __________.

4. The parent understands English, or the consent form that the parent signed was translated into __________, a language that the parent understands.
5. I have explained to the parent that __________ (name by which parent knows adoptive parent) has filed or plans to file a case to ask the court to permit that person to adopt the parent’s child.
6. I reviewed the consent form thoroughly with the parent, and I believe that the parent desires to consent to the adoption and has signed the consent form knowingly and voluntarily and not due to duress or coercion.

I solemnly affirm under the penalties of perjury that the contents of this affidavit are true to the best of my knowledge, information, and belief.

_____________________________________________

_____________________________________________

(Date)

(Signature)

_____________________________________________

(Printed Name)

_____________________________________________

(Address)

_____________________________________________

(City, State, Zip Code)

_____________________________________________

(Telephone Number)
Adopted June 4, 2007, eff. July 1, 2007.