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About Us
Our Team
Location
Services
Annulments
Child Custody & Visitation
Child Support
Divorce & Domestic Partnership Dissolution
Domestic Violence Restraining Orders
Legal Separation
Mediation
Paternity / Parentage
Post Judgment Issues
Prenuptial Agreements
Property Division
Spousal Support
Step Parent Adoption
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Client Information Form – Step Parent Adoption
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Client Information Form – Step Parent Adoption
"
*
" indicates required fields
Step
1
of
6
16%
This form is only to be used by potential clients of Mesnik Law Group. Please fill this form out as completely as possible. Note, all data entered in this form will be kept strictly confidential if you are a potential client of Mesnik Law Group, Inc.
Adopting Step Parent's Information
Step Parent's Full Name
*
Other Names/Aliases
Date of Birth
*
MM slash DD slash YYYY
Addresses
Home Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Information
Cell/Mobile Phone
*
Home Phone
Work Phone
Personal Email
*
Only include if you approve for us to use
Work Email
Only include if you approve for us to use
Biological Parent's Information
Biological Parent's Full Name
*
Other Names/Aliases
Date of Birth
MM slash DD slash YYYY
Home Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell/Mobile Phone
*
Home Phone
Work Phone
Personal Email
Work Email
Other Biological Parent's Information
(parent to have rights terminated)
Other Biological Parent's Full Name
*
Other Names/Aliases
Date of Birth
MM slash DD slash YYYY
Home Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell/Mobile Phone
Home Phone
Work Phone
Personal Email
Work Email
Adoption Info
Date of Marriage
*
MM slash DD slash YYYY
Date Adopting Parent Married to Biological Parent
Where Married
*
City/State/Country
How Long
*
How Long Adopting Parent Lived With Child[ren]
Will Other Parent Consent to Adoption
*
Yes
No
I dont know
Children's Information
Oldest Child's Full Name
*
Gender
*
Male
Female
Other
Date of Birth
*
MM slash DD slash YYYY
Place of Birth
*
City & State
Do You Want To Change The Child's Name?
*
Yes
No
I Dont Know
Child's New Name After Adoption
2nd Oldest Child's Full Name
Gender
Male
Female
Other
Date of Birth
MM slash DD slash YYYY
Place of Birth
City & State
Do You Want To Change The Child's Name?
*
Yes
No
I Dont Know
Child's New Name After Adoption
More Children
Children's Residence
Children's Current Address
*
Date Lived From
*
MM slash DD slash YYYY
Date Lived To
*
Who lived With / Relationship to Child[ren]
*
Past Address within Last 5 Years
Date Lived From
MM slash DD slash YYYY
Date Lived To
MM slash DD slash YYYY
Who lived With / Relationship to Child[ren]
Past Address within Last 5 Years
Date Lived From
MM slash DD slash YYYY
Date Lived To
MM slash DD slash YYYY
Who lived With / Relationship to Child[ren]
Past Address within Last 5 Years
Date Lived From
MM slash DD slash YYYY
Date Lived To
MM slash DD slash YYYY
Who lived With / Relationship to Child[ren]
Check here if more addresses
Court Orders
Custody Orders
*
Yes
No
Are There Custody Orders?
Describe Orders
Date Issued
MM slash DD slash YYYY
(approximate okay)
Issued by
Which State & County
Last Date of Contact
MM slash DD slash YYYY
Date of Other Parent's Last Contact With Child[ren] (approximate okay)
Describe Contact
(i.e. in person, phone, length)
Child Support
*
Yes
No
Are There Child Support Orders
Amount
Date Issued
MM slash DD slash YYYY
(approx okay)
Issued By
Which State & County
Payment Date
MM slash DD slash YYYY
(Date Last Payment Received approx okay)
Amount
Amount of Last Payment
Arrears
Child Support Arrears Amount (if any)
Support In Last 12 Mo.
Received Any Financial Support in Last 12 Months?
