REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION

REGIONAL TRIAL COURT
BRANCH 144, MAKATI CITY

________________ and _______________,

Petitioners

Special Proc No. ________

For: Domestic Adoption
of a Minor
x----------------------------------------------------x

PETITION FOR DOMESTIC ADOPTION OF MINOR

The petitioners, through the undersigned counsel, and unto this
Honorable Court, respectfully aver:
1. That the petitioners are husband and wife, both of legal age,
and residents of ________________.
2. That they have no legitimate children or descendants and
hereby desire to jointly adopt a minor, named
_______________, who is ______ years of age, legitimate child of
_________________;

3. That the father of the said minor is now dead, and only her
mother, named ____________ is alive;
4. That said mother, ____________, is not insane, nor
intemperate, nor has she abandoned such minor, and with
full knowledge of petitioners intention hereby expressly
gives her consent to the adoption, as evidenced by Annex
A here to attached and made an integral part of this
petition;
5. That the petitioners are qualified to adopt the said minor,
and will be able to financially and morally, to bring up and
educate said minor, properly and adequately;
WHEREFORE, it is respectfully prayed that upon due notice
and hearing judgment be entered adjudging that minor child be
freed from all legal obligations of obedience and maintenance
with respect to her natural parents and that she be declared to
all legal intents and purposes, the child of herein petitioners,
and that her surname be changed to that of the petitioners.

City of
_________________,
_________________.

CALLEJA LAW OFFICE

Counsel for the Petitioners
W 1903-A PSE Center
Exchange Road, Ortigas Center
Pasig City, Metro Manila
Tel. No. 633-6113
Fax No. 635-5786
Email: calleja.lawofc@yahoo.com