ÿWPC  €™»ä„7xŽ×‹TÜyÁÒçÂXØ\‚›½AFv (è.ÃxEÎòÊ{¦‚¡Ç5(lÓÖ>R[!Q¶é»¦Vøï0hQIU4”|ÙØ\°0oŒœñÌÃ_Ã×R2²þ!ŽºøhFÔ£Ù)ùXzÅŽhÎã>Ë@«ÞÙM×$ɹÉ)Ä ?E‡%”KЛÿ81ËNµOHG«óKP¯qÕ[vA6+í}‹ V»»ÅÍ£ÕÊFÆðµžÌð?)ˆÿ»…j¦èy$=I˜ÊÓ°‰Ù5ŽG}o7BøµÄqyQ}#Ó³aO¡V#ôm÷ªQùÍ„›íyXBÿ=¯7¸g‡äòftm‹¢sÖ…O?ö\‰G 35fb½îÊfWϽ;Øàì‚Ö3Ж ¸Y“,&SRá׳žŽ4`Ìã„L?¬›/¥³FžÙXF†ã–Íèð]»jD¥ôŠÙª-òécš«e›4œ·¯Ç1àp “+J‘Ze–#Þ]-=û!<ëSŒÃ±g RerkŽ ÐVol.€34,€Issue€2,€pages€74„135€(January€19,€2007);€andÐ öF ÐÌÌà  àThis€Court€by€Rules€Order€filed€May€8,€2007,€having€adopted,Ð úJ Ðwith€certain€amendments€made€on€the€Courtððs€own€motion,€the€RulesÐ ¦ö Ðchanges€proposed€in€the€One€Hundred€Fifty„Seventh€Report,€exceptÐ R ¢! Ðthe€proposed€amendments€to€Rules€1„101,€9„101,€9„102,€9„103,€9„Ð þ!N# Ð104,€9„105,€9„106,€9„107,€9„108,€9„109,€9„110,€9„111,€9„112,€andÐ ª#ú% Ð9„113€and€proposed€new€Forms€9„102.1,€9„102.2,€9„102.3,€9„102.4,Ð V%¦ ' Ð9„102.5,€9„102.6,€9„102.7,€9„102.8,€9„102.9,€and€9„102.10,Ð 'R") Ðconsideration€of€which€was€deferred€pending€further€study;€andÐ ®(þ#+ ÐÌÌÐ ²-)1 Ðà  àThis€Court€having€considered€at€an€open€meeting,€notice€ofÐ ° Ðwhich€was€posted€as€prescribed€by€law,€the€deferred€proposedÐ \¬ Ðrules€changes,€together€with€the€comments€received,€and€makingÐ X Ðcertain€amendments€to€the€proposed€rules€changes€on€its€ownÐ ´  Ðmotion,€it€is€this€4òòthóó€day€of€June,€2007,Ð ` ° ÐÌÌà  àORDERED,€by€the€Court€of€Appeals€of€Maryland,€thatÐ d´  Ðamendments€to€Rules€1„101,€9„101,€9„102,€9„103,€9„104,€9„105,€9„Ð `  Ð106,€9„107,€9„108,€9„109,€9„110,€9„111,€9„112,€and€9„113€and€newÐ ¼  ÐForms€9„102.1,€9„102.2,€9„102.3,€9„102.4,€9„102.5,€9„102.6,€9„Ð h¸ Ð102.7,€9„102.8,€9„102.9,€and€9„102.10€be,€and€they€are€hereby,Ð d Ðadopted€in€the€form€attached€to€this€Order;€and€it€is€furtherÐ À ÐÌÌà  àORDERED€that€the€rules€changes€hereby€adopted€by€this€CourtÐ Ä Ðshall€govern€the€courts€of€this€State€and€all€parties€and€theirÐ pÀ  Ðattorneys€in€all€actions€and€proceedings,€and€shall€take€effectÐ !l" Ðand€apply€to€all€actions€commenced€on€or€after€the€1òòstóó€day€ofÐ È"$ ÐJuly,€2007,€and€insofar€as€practicable,€to€all€actions€thenÐ t$Ä& Ðpending;€and€it€is€furtherÐ  &p!( ÐÌÐ  x)È$, ÐÔ_Ôà  àORDERED€that€a€copy€of€this€Order€be€published€in€the€nextÐ ° Ðissue€of€the€òòMaryland€Registeróó.Ð \¬ ÐÌÓÓà  àà ` àà ¸ àà  àà h àà À à/s/€Robert€M.€BellÐ À  Ðà  àà ` àà ¸ àà  àà h àà À à___________________________________Ð – æ Ðà  àà ` àà ¸ àà  àà h àà À àRobert€M.€BellÐ l ¼ ÐÌÌÌà  àà ` àà ¸ àà  àà h àà À à/s/€Irma€S.€RakerÐ Ä  Ðà  àà ` àà ¸ àà  àà h àà À à___________________________________Ð šê  Ðà  àà ` àà ¸ àà  àà h àà À àIrma€S.€RakerÐ pÀ  ÐÌÌÌà  àà ` àà ¸ àà  àà h àà À à/s/€Dale€R.€Ô_ÔCathellÔ_ÔÐ È Ðà  àà ` àà ¸ àà  àà h àà À à___________________________________Ð žî Ðà  àà ` àà ¸ àà  àà h àà À àDale€R.€Ô_ÔCathellÔ_ÔÐ tÄ ÐÌÌÌà  àà ` àà ¸ àà  àà h àà À à/s/€Glenn€T.€Ô_ÔHarrellÔ_Ô,€Jr.Ð Ì Ðà  àà ` àà ¸ àà  àà h àà À à___________________________________Ð ¢ò Ðà  àà ` àà ¸ àà  àà h àà À àGlenn€T.€Ô_ÔHarrellÔ_Ô,€Jr.Ð xÈ ÐÌÌÌà  àà ` àà ¸ àà  àà h àà À à/s/€Lynne€A.€Ô_ÔBattagliaÔ_ÔÐ Ð  Ðà  àà ` àà ¸ àà  àà h àà À à___________________________________Ð ¦ö Ðà  àà ` àà ¸ àà  àà h àà À àLynne€A.€Ô_ÔBattagliaÔ_ÔÐ |Ì  ÐÌÌÌà  àà ` àà ¸ àà  àà h àà À à/s/€Clayton€Greene,€Jr.Ð Ô"$$ Ðà  àà ` àà ¸ àà  àà h àà À à___________________________________Ð ª#ú% Ðà  àà ` àà ¸ àà  àà h àà À àClayton€Greene,€Jr.Ð €$Ð& ÐÌÌÌà  àà ` à€Ð Ø'(#* ÐFiled:€June€4,€2007Ð ®(þ#+ ÐÌ/s/€Alexander€L.€CummingsÐ Z*ª%- Ð______________________________Ð 0+€&. Ѐ€€€€€€€€€ClerkÐ ,V'/ ÐCourt€of€Appeals€of€MarylandÐ  Ü,,(0 Ðò ò€à@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ xÈ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ @ ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ  X Ðó óÌà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àÌÌà@ðð"ìàò òòòTABLE€OF€CONTENTSó óóóˆÐ n ¾  ÐÌÌRule€9„101.€€APPLICABILITY;€DEFINITIONSÐ þN  ÐÌà  à(a)€ApplicabilityÐ ªú  Ðà  à(b)€DefinitionsÐ €Ð  Ðà  à€€€€(1)€Independent€AdoptionÐ V¦ Ðà  à€€€€(2)€Private€Agency€AdoptionÐ ,| Ðà  à€€€€(3)€Private€Agency€GuardianshipÐ R Ðà  à€€€€(4)€Public€Agency€Adoption€after€Ô_ÔTPRÔ_ÔÐ Ø( Ðà  à€€€€(5)€Public€Agency€Adoption€without€Prior€Ô_ÔTPRÔ_ÔÐ ®þ Ðà  à€€€€(6)€Public€Agency€GuardianshipÐ „Ô Ðà  à€€€€(7)€Ô_ÔTPRÔ_ÔÐ Zª ÐÌÌRule€9„102.€€CONSENTS;€REVOCATION€OF€CONSENTÐ Ü, ÐÌà  à(a)€Consents€Generally€RequiredÐ ˆØ Ðà  à(b)€Form€of€Consents,€Affidavits€of€Attorneys,€andÐ ^® Ѐ€€€€€€€€Disclosure€VetoesÐ 4„ ÐÓ ¨ýÓÓ XÓ€€€à  à€€€€(1)€Consent€of€ParentÐ  Z ÐÓ ¨ýÓÓ XÓà  à€€€€(2)€Consent€of€Child€to€AdoptionÐ à0  Ðà  à€€€€(3)€Attorney€AffidavitÐ ¶ ! Ðà  à€€€€(4)€Disclosure€VetoesÐ Œ!Ü" Ðà  à(c)€Revocation€of€ConsentÐ b"²# Ðà  àà0 ` à(1)€Time€for€Revocation€of€ConsentÐ8#ˆ$` (#` (# Ðà  àà ` à€€€€(A)€By€ParentÐ $^% Ðà  àà ` à€€€€(B)€By€AdopteeÐ ä$4 & Ðà  àà ` à€€€€(C)€By€Public€or€Private€Agency€or€GuardianÐ º% !' Ðà  àà0 ` à(2)€Procedure€for€Revocation€of€ConsentÐ&à!(` (#` (# Ðà  àà0 ` à€€€€(A)€By€Parent€ð!ð€Delivery€to€ClerkÐf'¶")` (#` (# Ðà  àà ` à€€€€(B)€By€Agency,€Guardian,€or€AdopteeÐ <(Œ#* Ðà  àà ` à€€€€(C)€Noticeà h àà À àà  àà p àà È àà  àà x àÐ )b$+ Ðà  à€€à0 ` à€€€€(D)€Court€Hearing€Upon€Revocation€of€ConsentÐè)8%,` (#` (# ÐÌÌRule€9„103.€€PETITIONÐ j,º'/ ÐÌà  à(a)€Titling€of€CaseÐ .f)1 Ðà  à(b)€Petition€for€AdoptionÐ ° Ðà  à€€€€(1)€ContentsÐ †Ö Ðà  à€€€€(2)€ExhibitsÐ \¬ Ðà  à(c)€Petition€for€GuardianshipÐ 2‚ Ðà  à(d)€If€Facts€Unknown€or€Documents€UnavailableÐ X Ðà  à(e)€Disclosure€of€Facts€Known€to€Child€Placement€AgencyÐ Þ. ÐÌÌRule€9„104.€€NOTICE€OF€FILING€OF€PETITION;€STATUS€CONFERENCEÐ ` ° ÐÌà  à(a)€Notice€of€Filing€of€PetitionÐ  \  Ðà  à(b)€Status€ConferenceÐ â 2  ÐÌÌRule€9„105.€€SHOW€CAUSE€ORDER;€DISABILITY€OF€A€PARTY;€OTHER€€€€€€€Ð d´  Ѐ€€€€€€€€€€€€NOTICEÐ :Š  ÐÌà  à(a)€Requirement€for€Show€Cause€OrderÐ æ6 Ðà  à(b)€Appointment€of€Attorney€for€Disabled€PartyÐ ¼  Ðà  à(c)€Service€of€Show€Cause€OrderÐ ’â Ðà  à€€€€(1)€Method€of€ServiceÐ h¸ Ѐ€€€€€€€€(2)€Time€for€ServiceÐ >Ž Ðà  à€€€€(3)€Notice€of€ObjectionÐ d Ðà  à(d)€Notice€of€Change€of€NameÐ ê: Ðà  à(e)€Form€of€Show€Cause€OrderÐ À Ðà  à(f)€Form€of€Notice€of€ObjectionÐ –æ Ѐ€€€€(g)€Form€of€Notice€for€Service€by€Publication€and€PostingÐ l¼ ÐÌÌRule€9„106.€€APPOINTMENT€OF€ATTORNEY€„€ATTORNEY€AFFIDAVIT€„€€€€€€€Ð î> Ѐ€€€€€€€€€€€€INVESTIGATIONÐ Ä ÐÌà  à(a)€Appointment€of€AttorneyÐ pÀ  Ðà  à(b)€Payment€of€Attorneyððs€FeesÐ F –! Ðà  à(c)€Affidavit€of€AttorneyÐ !l" Ðà  àà0 ` à(1)€With€a€Parental€ConsentÐò!B#` (#` (# Ðà  àà0 ` à(2)€With€a€Consent€of€a€Prospective€AdopteeÐÈ"$` (#` (# Ðà  à(d)€Investigation€by€CourtÐ ž#î% Ðà  àà0 ` à(1)€OptionalÐt$Ä&` (#` (# Ðà  àà0 ` à(2)€MandatoryÐJ%š '` (#` (# Ðà  àà0 ` à(3)€Recommendation€of€InvestigatorÐ &p!(` (#` (# Ðà  àà0 ` à(4)€In€WritingÐö&F")` (#` (# ÐÌÌRule€9„107.€€OBJECTIONÐ x)È$, ÐÌà  à(a)€In€GeneralÐ $+t&. Ðà  à(b)€Time€for€Filing€ObjectionÐ ú+J'/ Ðà  à€€€€(1)€In€GeneralÐ Ð, (0 Ðà  à€€€€(2)€Service€Outside€of€the€StateÐ ¦-ö(1 Ðà  à€€€€(3)€Service€Outside€of€the€United€StatesÐ |.Ì)2 Ðà  à€€€€(4)€Service€by€Publication€in€a€Newspaper€and€on€WebsiteÐ ° Ðà  à(c)€ServiceÐ †Ö Ðà  à(d)€ResponseÐ \¬ Ðà  à(e)€HearingÐ 2‚ Ðà  à(f)€Access€to€RecordsÐ X ÐÌÌRule€9„108.€€TEMPORARY€CUSTODYÐ Š Ú ÐÌÌRule€9„109.€€HEARING€ON€MERITSÐ  \  Ðà  àÌà  à(a)€RequirementÐ ¸  Ðà  àà0 ` à(1)€GenerallyÐŽÞ ` (#` (# Ðà  àà0 ` à(2)€GuardianshipÐd´ ` (#` (# Ðà  à(b)€AdoptionÐ :Š  Ðà  à€€€€(1)€Persons€Present€at€HearingÐ `  Ðà  à€€€€(2)€ConsiderationsÐ æ6 Ðà  à€€€€(3)€Findings€by€the€CourtÐ ¼  ÐÌÌRule€9„110.€€ACCOUNTING€REPORTÐ >Ž ÐÌà  à(a)€Duty€to€FileÐ ê: Ðà  à(b)€ContentsÐ À ÐÌÌRule€9„111.€€JUDGMENT€OF€ADOPTION€OR€GUARDIANSHIPÐ B’ ÐÌà  à(a)€TimeÐ î> Ðà  à(b)€Information€from€Other€CourtÐ Ä Ðà  à(c)€Supplemental€ReportÐ šê Ðà  à(d)€Change€of€NameÐ pÀ  Ðà  à(e)€Spouse€of€ParentÐ F –! ÐÌÌRule€9„112.€€COURT€RECORDSÐ È"$ ÐÌà  à(a)€DocketsÐ t$Ä& Ðà  à(b)€Sealing€of€RecordsÐ J%š ' ÐÌÌRule€9„113.€€MEDICAL€AND€MENTAL€HEALTH€HISTORYÐ Ì'#* ÐÌÌÌÌÌà  àà ` àÐ  Ð, (0 Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„101€by€adding€new€section€(a),€ð ðApplicability,ððÐ 6 †  ÐÌand€by€revising€the€applicable€definitions€as€follows:Ð â 2  ÐÌÌRule€9„101.€€òòAPPLICABILITY;óó€DEFINITIONSÐ d´  ÐÌÌÓÓ€€òò(a)€€ApplicabilityóóÐ æ6 Ðà  à€€ò òThe€words€Ô_Ôð" ðchildÔ_Ô€placement€Ô_Ôagency,ð" ðÔ_Ô€Ô_Ôð" ðdisability,ð" ðÔ_ÔÐ ’â Ðð ðÔ_Ôfather,ð" ðÔ_Ô€and€Ô_Ôð" ðguardianshipð" ðÔ_Ô€as€used€in€Rules€9„101€through€9„113Ð >Ž Ðhave€the€meanings€stated€in€Code,€Family€Law€Article,€ðð5„301.€€InÐ ê: Ðaddition,€the€word€Ô_Ôð" ðparentð" ðÔ_Ô€includes€the€biological€mother,€aÐ –æ ÐÔ_Ôð" ðnaturalÔ_Ô€Ô_Ôfatherð" ðÔ_Ô€as€defined€in€Code,€Family€Law€Article,€ðð5„310€,Ð B’ Ðthe€biological€father€or€one€claiming€to€be€the€biological€fatherÐ î> Ðwho€does€not€meet€the€criteria€of€ðð5„310,€and€a€person€who€is€aÐ šê Ðchild's€parent€by€reason€of€a€previous€adoption.ó ó€€òòThe€Rules€inÐ F –! Ðthis€Chapter€apply€to€proceedings€under€Code,€Family€Law€Article,Ð ò!B# ÐTitle€5,€Subtitles€3€(Guardianship€to€and€Adoption€through€LocalÐ ž#î% ÐDepartment),€3A€(Private€Agency€Guardianship€and€Adoption),€andÐ J%š ' Ð3B€(Independent€Adoption).óóÐ ö&F") ÐÓÓCommittee€note:€€ò òThis€Rule€doesó ó€òòThe€Rules€in€this€Chapter€doóó€notÐ ¢(ò#+ Ðapply€to€the€guardianship€of€persons€and€property€of€minors€andÐ x)È$, Ðdisabled€persons€governed€by€Code,€Estates€and€Trusts€Article,Ð N*ž%- Ððð13„101€et€seq.€€Ð $+t&. ÐÌÓÓ€€òò(b)€DefinitionsóóÐ Ð, (0 Ðà  à€€òòThe€terms€used€in€this€Chapter€that€are€defined€in€Code,Ð |.Ì)2 ÐFamily€Law€Article,€Titles€1€and€5€shall€have€the€meanings€statedÐ ° Ðin€those€Titles.€€In€addition,€in€this€Chapter,€the€followingÐ \¬ Ðdefinitions€apply€except€as€expressly€otherwise€provided€or€asÐ X Ðnecessary€implication€requires.óóÐ ´  Ѐ€€€òò(1)€€Independent€AdoptionóóÐ ` ° Ðà  à€€€€òòð ðIndependent€Adoptionðð€means€an€adoption€under€Code,Ð  \  ÐFamily€Law€Article,€Title€5,€Subtitle€3B.óóÐ ¸  Ѐ€€€òò(2)€€Private€Agency€AdoptionóóÐ d´  Ðà  à€€€€òòð ðPrivate€Agency€Adoptionðð€means€an€adoption€under€Code,Ð `  ÐFamily€Law€Article,€Title€5,€Subtitle€3A,€Part€III.óóÐ ¼  Ѐ€€€òò(3)€€Private€Agency€GuardianshipóóÐ h¸ Ðà  à€€€€òòð ðPrivate€Agency€Guardianshipðð€means€a€guardianship€underÐ d ÐCode,€Family€Law€Article,€Title€5,€Subtitle€3A,€Part€II.óóÐ À Ѐ€€€òò(4)€€Public€Agency€Adoption€after€Ô_ÔTPRÔ_ÔóóÐ l¼ Ðà  à€€€€òòð ðPublic€Agency€Adoption€after€Ô_ÔTPRÔ_Ôðð€means€an€adoptionÐ h Ðunder€Code,€Family€Law€Article,€Title€5,€Subtitle€3,€Part€IV,Ð Ä Ðafter€termination€of€parental€rights.óóÐ pÀ  Ѐ€€€òò(5)€€Public€Agency€Adoption€without€Prior€Ô_ÔTPRÔ_ÔóóÐ !l" Ðà  à€€€€òòð ðPublic€Agency€Adoption€without€Prior€Ô_ÔTRPÔ_Ôðð€means€anÐ È"$ Ðadoption€under€Code,€Family€Law€Article,€Title€5,€Subtitle€3,Ð t$Ä& ÐPart€III,€without€prior€termination€of€parental€rights.óóÐ  &p!( Ѐ€€€òò(6)€€Public€Agency€GuardianshipóóÐ Ì'#* Ðà  à€€€€òòð ðPublic€Agency€Guardianshipðð€means€a€guardianship€underÐ x)È$, ÐCode,€Family€Law€Article,€Title€5,€Subtitle€3,€Part€II.óóÐ $+t&. Ѐ€€€òò(7)€€Ô_ÔTPRÔ_ÔóóÐ Ð, (0 Ðà  à€€€€òòð ðÔ_ÔTPRÔ_Ôðð€means€termination€of€parental€rights.óóÐ |.Ì)2 ÐÔ_ÔÓÓSource:€€This€Rule€is€in€part€derived€from€former€Rule€D71€and€isÐ ° Ðin€part€new.€€Ð †Ö ÐÌÌÌÔ‡ Xb$XXXb$ÔÐ  Þ. Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„102€by€deleting€language€from€section€(a),€byÐ 6 †  ÐÌupdating€the€cross€reference€after€section€(a),€by€adding€a€newÐ â 2  ÐÌsection€(b)€pertaining€to€certain€forms,€by€relettering€the€Rule,Ð ŽÞ  ÐÌby€replacing€the€language€in€subsection€(c)(1)€with€references€toÐ :Š  ÐÌcertain€Code€provisions,€by€conforming€the€provisions€pertainingÐ æ6 ÐÌto€revocation€of€a€consent€to€statutory€changes,€by€adding€a€newÐ ’â ÐÌsubsection€(c)(2)(C)€pertaining€to€notice,€by€deleting€and€addingÐ >Ž ÐÌlanguage€to€subsection€(c)(2)(D)€pertaining€to€scheduling€anÐ ê: ÐÌimmediate€hearing€upon€revocation€of€a€consent,€and€by€deletingÐ –æ ÐÌall€forms€from€the€Rule,€as€follows:Ð B’ ÐÌÌRule€9„102.€€CONSENTS;€ò òREQUESTS€FOR€ATTORNEY€OR€COUNSELINGó óÐ Ä ÐÌòòREVOCATION€OF€CONSENTóóÐ pÀ  ÐÌÌÓÓ€€(a)€òòConsentsóó€Generally€òòRequiredóóÐ ò!B# Ðà  à€€Except€when€otherwise€permittedòò,ò òóó€by€Code,€Family€LawÐ ž#î% ÐArticle,€ðð5„312,€ðð5„313,€or€ðð5„313.1òòóó,ó ó€a€judgment€of€adoption€orÐ J%š ' Ðguardianship€may€not€be€entered€without€the€consents€prescribedÐ ö&F") Ðby€Code,€Family€Law€Articleò ò,€ðð5„311€or€ðð5„317€(c)(2)ó óòòóó.€€Ð ¢(ò#+ ÐÓÓCross€reference:€€ò òSee€Code,€Family€Law€Article,€ðð5„314€forÐ N*ž%- Ðprovisions€governing€the€validity€of€consents.ó ó€€òòFor€provisionsÐ $+t&. Ðgoverning€the€authority€to€grant€guardianships€or€adoptions€andÐ ú+J'/ Ðthe€validity€of€consents,€see€Code,€Family€Law€Article,€ðððð5„320Ð Ð, (0 Ðand€5„321€as€to€a€Public€Agency€Guardianship;€5„338€and€5„339€asÐ ¦-ö(1 Ðto€a€Public€Agency€Adoption€without€Prior€TPR;€5„350€and€5„351€asÐ |.Ì)2 Ðto€a€Public€Agency€Adoption€after€TPR;€5„3A„18€and€5„3A„19€as€toÐ ° Ða€Private€Agency€Guardianship;€5„3A„35€as€to€a€Private€AgencyÐ †Ö ÐAdoption;€and€5„3B„20€and€5„3B„21€as€to€an€Independent€Adoption.óóÐ \¬ ÐÌÓÓ€€òò(b)€€Form€of€Consents,€Affidavits€of€Attorneys,€and€DisclosureÐ X ÐVetoesóóÐ ´  Ѐ€€€òò(1)€€Consent€of€ParentóóÐ ` ° Ðà  à€€€€òòIf€signed€on€or€after€July€1,€2007,€the€consent€of€aÐ  \  Ðparent€to€a€guardianship€or€to€an€adoption€shall€be€substantiallyÐ ¸  Ðin€the€applicable€form€set€forth€at€the€end€of€this€Title€as€FormÐ d´  Ð9„102.1€(Consent€of€Parent€to€a€Public€Agency€Guardianship),€FormÐ `  Ð9„102.2€(Consent€of€Parent€to€a€Private€Agency€Guardianship),Ð ¼  ÐForm€9„102.3€(Consent€of€Parent€to€a€Public€Agency€AdoptionÐ h¸ Ðwithout€Prior€TPR),€Form€9„102.4€(Consent€of€Parent€to€anÐ d ÐIndependent€Adoption€with€Termination€of€Parental€Rights),€orÐ À ÐForm€9„102.5€(Consent€of€Parent€to€an€Independent€AdoptionÐ l¼ Ðwithout€Termination€of€Parental€Rights).óóÐ h Ѐ€€€òò(2)€€Consent€of€Child€to€AdoptionóóÐ Ä Ðà  à€€€€òòIf€signed€on€or€after€July€1,€2007,€the€consent€of€aÐ pÀ  Ðchild€to€an€adoption€shall€be€substantially€in€the€applicableÐ !l" Ðform€set€forth€at€the€end€of€this€Title€as€Form€9„102.6€(ConsentÐ È"$ Ðof€Child€to€a€Public€Agency€Adoption€or€Private€Agency€Adoption)Ð t$Ä& Ðor€Form€9„102.7€(Consent€of€Child€to€an€Independent€Adoption).óóÐ  &p!( Ѐ€€€òò(3)€€Attorney€AffidavitóóÐ Ì'#* Ðà  à€€€€òòWhen€required€and€if€signed€on€or€after€July€1,€2007,Ð x)È$, Ðthe€affidavit€by€an€attorney€as€to€the€validity€of€the€consent€ofÐ $+t&. Ða€parent€to€a€guardianship€or€adoption€or€a€child€to€an€adoptionÐ Ð, (0 Ðshall€be€substantially€in€the€applicable€form€set€forth€at€theÐ |.Ì)2 Ðend€of€this€Title€as€Form€9„102.8€(Attorney€Affidavit€as€toÐ ° ÐConsent€of€a€Parent€to€a€Public€Agency€Guardianship€or€PrivateÐ \¬ ÐAgency€Guardianship),€Form€9„102.9€(Attorney€Affidavit€as€toÐ X ÐConsent€of€a€Parent€to€Adoption),€or€Form€9„102.10€(AttorneyÐ ´  ÐAffidavit€as€to€Consent€of€a€Child€to€Adoption).Ð ` ° ÐCross€reference:€See€Rule€9„106€(c).óóÐ  \  Ѐ€€€òò(4)€€Disclosure€VetoesóóÐ ¸  Ðà  à€€€€òòThe€disclosure€vetoes€that€are€required€to€be€attachedÐ d´  Ðto€the€consent€forms€may€be€found€on€the€website€of€the€MarylandÐ `  ÐDepartment€of€Human€Resources.óóÐ ¼  Ѐ€ò ò(b)ó ó€òò(c)óó€€Revocation€of€ConsentÐ h¸ Ѐ€€€(1)€Time€for€ò òRevokingó ó€òòRevocation€ofóó€ConsentÐ d Ðà  à€€€ò òAn€individual€to€be€adopted€may€revoke€his€or€her€consentÐ À Ðat€any€time€before€entry€of€a€judgment€of€adoption.€€Any€otherÐ l¼ Ðperson€or€agency€executing€a€required€consent€to€an€adoption€orÐ h Ðguardianship€may€revoke€the€consent€within€30€days€after€theÐ Ä Ðconsent€is€signed.ó ó€€Ð pÀ  Ѐ€€€€€òò(A)€€By€ParentóóÐ !l" Ðà  à€€€€€€òòThe€time€for€revocation€of€consent€by€a€parent€is€asÐ È"$ Ðprovided€in€Code,€Family€Law€Article,€ðð5„321€(Public€AgencyÐ t$Ä& ÐGuardianship),€ðð5„339€(Public€Agency€Adoption€without€Prior€TPR),Ð  &p!( Ððð5„3A„19€(Private€Agency€Guardianship),€and€ðð5„3B„21€(IndependentÐ Ì'#* ÐAdoption).óóÐ x)È$, Ѐ€€€€€òò(B)€€By€AdopteeóóÐ $+t&. Ðà  à€€€€òòThe€time€for€revocation€of€consent€by€an€adoptee€is€asÐ Ð, (0 Ðprovided€in€Code,€Family€Law€Article,€ðð5„339€(Public€AgencyÐ |.Ì)2 ÐAdoption€without€Prior€TPR),€ðð5„351€(Public€Agency€Adoption€afterÐ ° ÐTPR),€ðð5„3A„35€(Private€Agency€Adoption),€and€ðð5„3B„21Ð \¬ Ð(Independent€Adoption).óóÐ X Ѐ€€€€€òò(C)€€By€Public€or€Private€Agency€or€GuardianóóÐ ´  Ðà  à€€€€òòThe€time€for€revocation€of€consent€by€a€public€orÐ ` ° Ðprivate€agency€or€guardian€is€as€provided€in€Code,€Family€LawÐ  \  ÐArticle,€ðð5„339€(Public€Agency€Adoption€without€Prior€TPR),€ðð5„Ð ¸  Ð351€(Public€Agency€Adoption€after€TPR),€and€ðð5„3A„35€(PrivateÐ d´  ÐAgency€Adoption).óóÐ `  Ðòòóó€€(2)€€Procedure€for€ò òRevokingó ó€òòRevocation€of€ConsentóóÐ ¼  Ѐ€€€òò(A)€€By€Parent€„€Delivery€to€ClerkóóÐ h¸ Ѐ€€€€€€€€ò òAn€individualó ó€òòA€parentóó€may€revoke€a€consent€to€anÐ d Ðadoption€or€guardianship€only€by€a€signed€writing€actuallyÐ À Ðdelivered€by€mail€or€in€person€to€the€clerk€of€the€circuit€courtÐ l¼ Ðdesignated€in€the€consent€to€receive€the€revocation.€€òòIf€theÐ h Ðrevocation€is€delivered€to€an€agent€of€a€public€or€privateÐ Ä Ðagency,€the€agent€shall€deliver€the€revocation€promptly€to€theÐ pÀ  Ðcourt.óóÐ !l" Ѐ€€€€€òò(B)€€By€Agency,€Guardian,€or€AdopteeóóÐ È"$ Ѐ€€€€€€€€An€agencyòò,óó€ò òentitled€toó ó€òòguardian,€or€adoptee€mayóó€revoke€ò òaó óÐ t$Ä& Ðconsent€to€an€adoption€ò òmay€do€so€(A)€byó ó€òò(i)€in€person€or€throughóóÐ  &p!( Ðcounsel€on€the€record€at€ò òtheó ó€òòaóó€hearing€ò òrequired€by€Rule€9„109ó ó€orÐ Ì'#* Ðò ò(B)ó ó€òò(ii)óó€in€a€writing€signed€by€the€executive€head€of€the€agencyòò,Ð x)È$, Ðthe€guardian,€or€the€adopteeóó€and€filed€with€the€court.€€òòIf€theÐ $+t&. Ðrevocation€is€delivered€to€an€agent€of€a€public€or€privateÐ Ð, (0 Ðagency,€the€agent€shall€deliver€the€revocation€promptly€to€Ô_ÔtheÐ |.Ì)2 Ðcourt.óóÐ ° ÐCross€reference:€€Rule€9„112.€€Ð \¬ Ðòòóó€€€€òò(C)€€NoticeóóÐ X Ðà  à€€òòThe€court€shall€send€to€all€parties,€including€the€Ð ´  Ðperson€who€revoked€the€consent,€a€copy€of€the€revocation€andÐ ` ° Ðnotice€of€a€hearing€scheduled€pursuant€to€subsection€(c)(2)(D)€ofÐ  \  Ðthis€Rule.óóÐ ¸  Ѐ€€€ò ò(3)ó ó€òò(D)óó€€ò òAction€byó ó€Court€òòHearingóó€Upon€Revocation€òòof€ConsentóóÐ d´  Ðà  à€€€If€a€consent€is€revoked€pursuant€to€this€Rule,€the€courtÐ `  Ðshall€ò ò(A)€schedule€a€hearing€within€three€days€to€determine€theÐ ¼  Ðstatus€of€the€petition€and€temporary€custody€of€the€child,€(B)Ð h¸ Ðdetermine€the€immediate€custody€of€the€child€pending€thatÐ d Ðhearing,€and€(C)€send€to€all€parties€and€all€persons€whoÐ À Ðpreviously€consented€to€the€adoption€or€guardianship,€includingÐ l¼ Ðthe€person€who€revoked€the€consent,€a€copy€of€the€revocation,Ð h Ðnotice€of€the€immediate€custody€determination,€and€notice€of€theÐ Ä Ðscheduled€hearing.€€This€subsection€does€not€apply€to€actionsÐ pÀ  Ðgoverned€by€Code,€Family€Law€Article,€ðð5„312,€ðð5„313,€or€ðð5„313.1ó óÐ !l" Ðòòschedule€an€immediate€hearing€to€determine€the€status€of€theÐ È"$ Ðpetition€and,€if€necessary,€temporary€custody€of€the€child.óóÐ t$Ä& ÐÓÓò òCross€reference:€€Code,€Family€Law€Article,€ðððð5„311€and€5„317.ó óÐ  &p!( ÐÌÓÓ€€ò ò(c)€€Form€of€Consent€of€Parent€to€Adoptionó óÐ Ì'#* Ðà  à€€ò òThe€consent€of€a€parent€to€an€adoption€shall€be€inÐ x)È$, Ðsubstantially€the€following€form.ó ó€Ð $+t&. ÐÓÓÌÐ  ¦-ö(1 Ðà@0 0 ìàò òCONSENT€TO€ADOPTION/GUARDIANSHIPó ó€ˆÐ ° ÐÌà@tt)ìàò òORó óˆÐ \¬ ÐÌà@¸ ¸ ìàò òREQUEST€FOR€ATTORNEY€OR€COUNSELINGó ó€ˆÐ X ÐÌÌ€€€ò ò1.€Name.ó ó€Ð Š Ú ÐÌ€€€ò òMy€name€is€_________________________________________________.ó ó€Ð 6 †  Ѐ̀€€ò ò2.€Age€and€Competence.ó ó€Ð â 2  Ѐ̀€€ò òMy€date€of€birth€is€_____________________€and€I€am€capable€ofÐ ŽÞ  ÐÌunderstanding€what€this€consent€means.ó óÐ :Š  ÐÌ€€€ò ò3.€Status€as€Parent.€€ò òCheck€all€that€apply.ó óó ó€Ð æ6 Ѐ€Ð Ê Ѐ€ò ò(a)€€I€am€[€€]€the€mother€[€€]€the€father€(or)€[€€]€alleged€toÐ  ð ÐÌbe€the€father€of€_____________________________________€,€born€onÐ Lœ ÐÌ________________________________________,€_______________________Ð øH ÐÌat€____________________________________________________________€,Ð ¤ô Ѐ€€€€€€€€€€€(name€of€hospital€or€address€of€birthplace)€Ð zÊ ÐÌin€_____________________________________________________________.ó ó€Ð &v Ѐ€€€€€€€€€€€€€€€ò ò(city,€state,€and€county€of€birth)ó ó€Ð üL ÐÌ€€ò ò(b)€€I€was€married€to€the€mother€of€the€child€[€€]€at€the€timeÐ ¨ø ÐÌof€conception€[€€]€at€the€time€the€child€was€born.ó ó€Ð T ¤! Ѐ̀€€ò ò4.ò òó ó€ò òRIGHT€TO€ATTORNEY.ó ó€ó óÐ "P# Ѐ̀€€ò òI€understand€that:ó ó€Ð º# % ÐÌ€€ò ò(a)€The€court€will€appoint€an€attorney€for€me€if€I€am€underÐ f%¶ ' ÐÌ18€years€of€age€or€if,€because€of€a€disability,€I€am€incapable€ofÐ 'b") ÐÌconsenting€to€the€adoption/guardianship€or€of€effectivelyÐ ¾($+ ÐÌparticipating€in€the€adoption/guardianship€proceeding.ó ó€Ð j*º%- ÐÌ€€ò ò(b)€Even€if€I€am€not€entitled€to€a€court„appointed€attorney,€IÐ ,f'/ ÐÌam€entitled€to€consult€an€attorney€chosen€by€me.€€If€this€is€aÐ Â-)1 ÐÐ ˜.è)2 Ðconsent€to€an€adoption,€the€adoptive€parents€may€agree€to€pay€allÐ ° ÐÌÔ_Ôor€part€of€the€attorney's€fees€on€my€behalf€and,€if€this€is€anÐ \¬ ÐÌindependent€adoption€(that€is,€where€an€agency€is€not€involved),Ð X ÐÌthe€court€may€order€the€adoptive€parents€to€do€so.ó ó€Ð ´  ÐÌ€€ò ò(c)€If€I€choose€to€seek€the€appointment€or€advice€of€anÐ ` ° ÐÌattorney,€I€cannot€now€consent€to€the€adoption/guardianship€andÐ  \  ÐÌthis€Consent€Form€will€be€ineffective€as€a€consent.ó óÐ ¸  ÐÌÌ€€€€ò òò òCheck€one€of€the€following€statements:ó óó ó€€Ð :Š  ÐÌ€€€€ò ò[€€]€I€do€not€want€an€attorney.ó ó€Ð ôD ÐÌ€€€€ò ò[€€]€I€already€have€an€attorney€whose€name,€address,€andó óÐ  ð ÐÌ€€€€€€€€€ò òtelephone€number€are€_________________________________ó óÐ Lœ ÐÌ€€€€€€€€€ò ò______________________________________________________.ó óÐ øH ÐÌ€€€€€€€€€€ò ò(Name)€€€€€€€€€€€€(Address)€€€€€€€€€(Telephone€Number)ó ó€Ð ¤ô ÐÌ€€€€ò ò[€€]€I€want€an€attorney.ó ó€Ð P  ÐÌÌ€€€ò ò5.ò ò€OPTION€OF€ADOPTION€COUNSELING.ó óó ó€Ð Ò" Ѐ̀€€ò òI€understand€that,€if€this€is€an€independent€adoption,€I€haveÐ ŒÜ  ÐÌthe€option€of€receiving€adoption€counseling€and€guidance€forÐ 8!ˆ" ÐÌwhich€a€court€may€require€the€adoptive€parents€to€pay.€€I€alsoÐ ä"4$ ÐÌunderstand€that€if€I€choose€to€seek€such€counseling€or€guidance,Ð $à& ÐÌI€cannot€now€consent€to€the€adoption€and€this€Consent€Form€willÐ <&Œ!( ÐÌbe€ineffective€as€a€consent€to€adoption.ó ó€Ð è'8#* ÐÌ€€€ò òò òCheck€one€of€the€following€statements:ó óó ó€€Ð ”)ä$, Ѐ̀€€ò ò[€€]€I€do€not€want€adoption€counseling€and€guidance.ó ó€Ð N+ž&. Ѐ€€Ð $,t'/ Ѐ€€ò ò[€€]€I€am€already€receiving€or€have€received€adoptionó óÐ ú,J(0 ÐÌ€€€€€€€€ò òcounseling€and€guidance.ó ó€Ð ¦.ö)2 Ѐ̀€€ò ò[€€]€I€want€adoption€counseling€and€guidance.ó ó€Ð †Ö Ѐ̀€€Ð 2‚ Ðò òò ò[IF€A€REQUEST€IS€MADE€FOR€AN€ATTORNEY€OR€FOR€YOU€CHECKED€THAT€YOUÐ X ÐWANT€ADOPTION€COUNSELING€AND€GUIDANCE,€SIGN€HERE€AND€DO€NOTÐ ì< ÐCOMPLETE€THE€REST€OF€THIS€FORM]ó óó ó€Ð Ð  ЀÌÌ_______________________€€€€€€€€€€€€€€€__________________________Ð ` °  Ðò ò(Date)€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Signature)ó ó€Ð 6 †  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€__________________________Ð â2  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Address)ó ó€Ð ¸  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€__________________________Ð d´  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Telephone€Number)ó ó€Ð :Š  ÐÌ€ÌÌ€€€ò ò6.ò ò€€COMPENSATION.ó ó€ó óÐ ’â Ѐ̀€€ò òI€understand€that€by€Maryland€law€I€am€not€allowed€to€receiveÐ Lœ ÐÌcompensation€of€any€kind€for€the€placement€of€my€child,€exceptÐ øH ÐÌthat€reasonable€and€customary€charges€or€fees€for€hospital€orÐ ¤ô ÐÌmedical€or€legal€services€may€be€paid€on€my€behalf.ó ó€Ð P  ÐÌ€€€ò ò7.€ò ò€ACCESS€TO€BIRTH€AND€ADOPTION€RECORDS.ó ó€ó óÐ üL ÐÌ€€€ò òI€understand€that€when€my€child€is€at€least€21€years€old,€myÐ ¶  ÐÌchild€or€I€or€my€child's€other€biological€parent€may€apply€to€theÐ b!²" ÐÌSecretary€of€Health€and€Mental€Hygiene€for€access€to€certainÐ #^$ ÐÌbirth€and€adoption€records.€€If€I€do€not€want€information€aboutÐ º$ & ÐÌme€to€be€disclosed,€I€have€the€right€to€prevent€disclosure€byÐ f&¶!( ÐÌfiling€a€disclosure€veto.€€I€acknowledge€receiving€a€copy€of€Ð (b#* ÐÌthe€Maryland€Code,€Family€Law€Article,€Title€5,€Subtitle€3A€Ð ¾)%, ÐÌand€a€form€that€I€may€use€if€I€want€to€file€a€disclosure€veto.ó ó€€€€Ð j+º&. Ѐ€€€€€Ð @,'/ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€______________€Ð -f(0 Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Initials)ó ó€Ð ì-<)1 Їò ò(This€paragraph€applies€to€adoptions€finalized€on€or€afterÐ ° ЀJanuary€1,€2000.)ó ó€Ð †Ö Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð \¬ Ѐ€€ò ò8.ò ò€€ADOPTION€SEARCH,€CONTACT,€AND€REUNION€SERVICES.ó óó ó€Ð 2‚ ÐÌ€€€ò òI€understand€that€when€my€child€is€at€least€21€years€old,€myÐ ì< ÐÌchild€or€I€or€my€child's€other€biological€parent€may€apply€to€theÐ ˜ è ÐÌDirector€of€the€Social€Services€Administration€of€the€DepartmentÐ D ”  ÐÌof€Human€Resources€for€adoption€search,€contact,€and€reunionÐ ð @  ÐÌservices.€€By€my€initials,€I€acknowledge€receiving€a€copy€of€theÐ œì  ÐÌMaryland€Code,€Family€Law€Article,€Title€5,€Subtitle€4B.ó ó€€€€€€€€€€Ð H˜  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€______________Ð ôD Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Initials)ó ó€Ð Ê ÐÌ€€€ò ò9.€ò ò€EFFECT€OF€CONSENT.ó óó ó€Ð vÆ Ѐ̀€€Ð 0€ Ѐ€€ò òI€UNDERSTAND€THAT,€BY€SIGNING€THIS€CONSENT,€I€AGREE€TO€THEÐ V ÐÌCONTENTS€OF€IT,€AND€THAT,€UNLESS€THIS€IS€A€STEPPARENT€ADOPTION€INÐ ² ÐÌWHICH€MY€(HUSBAND)(WIFE)€IS€PROPOSING€TO€ADOPT€MY€CHILD,€I€AMÐ ^® ÐÌGIVING€UP€ALL€RIGHTS,€DUTIES,€AND€OBLIGATIONS€WITH€RESPECT€TO€MYÐ  Z ÐÌCHILD€AND€ALL€RIGHTS€TO€PARTICIPATE€IN€ANY€PROCEEDING€FORÐ ¶ ÐÌADOPTION€OR€GUARDIANSHIP€OF€MY€CHILD.ó ó€Ð b ²! Ѐ̀€€ò ò10.€€ò òRIGHT€TO€REVOKE€CONSENT€„€LIMITATIONSó ó.ó ó€Ð "^# Ѐ̀€€ò òI€understand€that€the€only€way€in€which€I€can€revoke€thisÐ È#% ÐÌconsent€is€by€delivering€my€revocation€to€the€following€person:ó ó€Ð t%Ä ' ÐÌÌò òClerk€of€the€Circuit€Court€for€__________________________________ó óÐ ö'F#* Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Name€of€County)ó ó€Ð Ì($+ ÐÌÌò òAttention:€Adoption€Clerkó ó€Ð N+ž&. ÐÌò ò_________________________________________________________________ó ó€Ð ú,J(0 Ѐ€€€€€€€€€ò ò(Address€and€Telephone€Number€of€Court)ó ó€Ð Ð- )1 ÐÐ ¦.ö)2 Ðò ò_________________________________________________________________Ð ° ÐÌòòò òin€writingó óóó€no€later€than€_____________________________________€,Ð \¬ Ðó óÌò òwhich€is€30€days€from€the€date€I€sign€this€consent,€that€my€Ð h ÐÌconsent€is€revoked.€The€revocation€must€be€signed€by€me€andÐ Ä  ÐÌshould€contain€my€printed€name€and€address€and,€to€the€extentÐ p À ÐÌknown,€the€name,€sex,€and€date€of€birth€of€my€child.ó ó€Ð  l  Ѐ̀€€ò òI€understand€that€revocation€by€telephone€or€other€oralÐ È  ÐÌconversation€or€by€writing€to€anyone€other€than€the€person€namedÐ tÄ  ÐÌabove€will€not€constitute€a€valid€revocation.€I€understand€that€IÐ  p  ÐÌmay€deliver€my€written€revocation€by€mail€or€in€person,€but€if€itÐ Ì ÐÌis€not€received€€by€the€clerk€by€the€date€stated€above,€it€willÐ xÈ ÐÌnot€constitute€a€valid€revocation.ó ó€Ð $t Ѐ̀€€ò ò11.€€ò òCONSENTó ó.ó ó€Ð Ð  Ѐ̀€€ò òHaving€read€carefully€all€of€the€above€statements€ò ò(check€oneÐ ŠÚ ÐÌof€the€following€statements)ó ó:ó ó€Ð R¢ Ѐ̀€€ò ò[€€]€I€freely,€voluntarily,€and€unequivocally€consent€to€theó óÐ  \ ÐÌ€€€€€€€€ò òadoption€of€my€child€by€______________€and€______________Ð ¸  Ðó óÌ€€€€€€€€ò òor€the€person€or€persons€whose€name(s)€is/are€unknown€toó óÐ d!´" ÐÌ€€€€€€€€ò òme,€but€known€to€the€court.€I€further€consent€tható ó€Ð #`$ ÐÌ€€€€€€€€ò òthe€prospective€adoptive€parents€may€have€immediate€andó óÐ ¼$ & ÐÌ€€€€€€€€ò òtemporary€custody€of€my€child.ó ó€Ð h&¸!( Ѐ̀€€ò ò[€€]€I€freely,€voluntarily,€and€unequivocally€consent€to€aó óÐ (d#* ÐÌ€€€€€€€€ò òjudgment€appointing€______________€as€the€guardian€of€myó óÐ À)%, ÐÌ€€€€€€€€ò òchild,€with€the€right€of€the€guardian€to€consent€toó óÐ l+¼&. ÐÌ€€€€€€€€ò òadoption€or€long-term€care€short€of€adoption.ó ó€Ð -h(0 ЀÐ î->)1 Ї€€€ò ò12.ò ò€€WAIVER€OF€NOTICE€OF€ADOPTION€OR€GUARDIANSHIPÐ ° ÐÌPROCEEDING.ó óó ó€Ð xÈ Ѐ̀€€ò òI€understand€that,€based€on€this€Consent,€a€petition€forÐ 2‚ ÐÌadoption€or€guardianship€will€be€filed€in€court€and€that€I€haveÐ Þ . ÐÌthe€right€to€be€notified€when€the€petition€is€filed€and€ofÐ Š Ú ÐÌfurther€proceedings€concerning€the€guardianship€or€adoption.€IÐ 6 †  ÐÌalso€understand€that€I€may€waive€my€right€to€notice.ó ó€Ð â2  Ѐ̀€€ò òò òCheck€one€of€the€following€statements:ó óó ó€Ð ŽÞ  Ѐ̀€ò ò[€€]€I€waive€notice€of€all€proceedings€concerning€the€adoptionó óÐ H˜  ÐÌ€€€€€€€ò òor€guardianship,€including€entry€of€judgment.€I€understandó óÐ ôD ÐÌ€€€€€€€ò òthat€a€court€representative€may€nonetheless€contact€me€inó óÐ  ð ÐÌ€€€€€€€ò òconnection€with€these€proceedings.ó ó€Ð Lœ Ѐ̀€ò ò[€€]€I€want€to€receive€notice€of€the€filing€of€the€petition€butó óÐ øH ÐÌ€€€€€€€ò òwaive€notice€of€all€further€proceedings€concerning€theó óÐ ¤ô ÐÌ€€€€€€€ò òadoption€or€guardianship.€I€understand€that€notice€will€beó óÐ P  ÐÌ€€€€€€€ò òsent€to€the€address€given€by€me€on€this€form€unless€Ió óÐ üL ÐÌ€€€€€€€ò òadvise€the€clerk€of€the€court€stated€in€Paragraph€10€ofó óÐ ¨ø  ÐÌ€€€€€€€ò òthis€Consent,€in€writing,€of€a€change€in€my€address.ó ó€Ð T!¤" Ѐ̀€ò ò[€€]€I€want€to€receive€notice€of€the€filing€of€the€petition€andó óÐ #P$ ÐÌ€€€€€€€ò òof€further€proceedings€concerning€the€adoption€oró óÐ ¬$ü& ÐÌ€€€€€€€ò òguardianship€until€my€parental€rights€have€beenó óÐ X&¨!( ÐÌ€€€€€€€ò òterminatedòòóó.€€I€understand€that€notice€will€be€sent€to€theó óÐ (T#* ÐÌ€€€€€€€ò òaddress€given€by€me€on€this€form€unless€I€advise€the€clerkó óÐ °)%, ÐÌ€€€€€€€ò òof€the€court€stated€in€Paragraph€10€of€this€Consent,€inó óÐ \+¬&. ÐÌ€€€€€€€ò òwriting,€of€a€change€in€my€address.ó ó€Ð -X(0 ÐÐ Þ-.)1 Ѐ€€ò ò13.€€I€acknowledge€that€I€have€read€this€Consent€or€have€hadÐ ° ÐÌit€readòòóó€to€me,€that€I€understand€it,€and€that€I€have€received€aÐ \¬ ÐÌcopy€of€the€signed€Consent€to€keep.€€I€further€acknowledge€thatÐ X ÐÌno€one€has€persuaded€me€to€sign€this€consent€or€any€other€form€orÐ ´  ÐÌpaper€regarding€this€adoption€or€guardianship€against€my€will.ó ó€Ð ` ° ЀÌÌ€€€ò òI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ â 2  ÐÌcontents€of€the€foregoing€Consent€Form€are€true€to€the€best€of€myÐ ŽÞ  ÐÌknowledge,€information,€and€belief.ó ó€€Ð :Š  ÐÌÌò ò_______________________€€€€€_____________________________________ó óÐ ¼  Ðò ò(Date)ó ó€€€€€€€€€€€€€€€€€€€€€€ò ò(Signature)ó ó€Ð ’â ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò_____________________________________ó óÐ >Ž Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Address)ó ó€Ð d Ѐ̀€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò_____________________________________ó óÐ À Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Telephone€Number)ó ó€€Ð –æ ÐÌÌÌÌ€€ò ò(d)€€Form€of€Consent€of€Person€to€be€Adoptedó óÐ Ä ÐÌ€€€€€€€ò òThe€consent€of€a€person€to€be€adopted€shall€be€inÐ pÀ  ÐÌsubstantially€the€following€form.ó ó€Ð !l" ÐÌÌà@<< ìàò òCONSENT€TO€ADOPTIONó ó€ˆÐ ž#î% ÐÌà@88)ìàò òORó ó€ˆÐ J%š ' ÐÌà@<< ìàò òREQUEST€FOR€ATTORNEYó óˆÐ ö&F") ÐÌÌ€€€ò ò1.€Name.ó ó€Ð x)È$, Ѐ̀€€ò òMy€name€is€_________________________________________________€.ó ó€Ð $+t&. Ѐ̀€€ò ò2.€Age€and€Place€of€Birth.ó ó€Ð Ð, (0 Ѐ€Ð ¦-ö(1 Ѐ€ò ò(a)€€I€am€at€least€10€years€old.€€My€date€of€birth€is€_______Ð |.Ì)2 Ї_____________________òòóó.ó ó€Ð ° Ѐ€Ð †Ö Ѐ€ò ò(b)€€I€was€born€at€___________________________________________Ð \¬ ÐÌ_______________________________________________________________€,ó ó€Ð X Ѐ€€€€€€€€€€ò ò(name€of€hospital€or€address€of€birthplace)ó ó€Ð Þ. ÐÌò òin€____________________________________________________________.ó ó€Ð Š Ú Ѐ€€€€€€€€€€€€€€ò ò(city,€state,€and€county€of€birth)ó ó€Ð ` ° Ѐ̀€€ò ò3.€Right€to€Attorney.ó ó€Ð  \  Ѐ̀€€ò òI€understand€that:ó ó€Ð ¸  Ѐ€Ð ŽÞ  Ѐ€ò ò(a)€€The€court€will€appoint€an€attorney€for€me€if€(i)€becauseÐ d´  ÐÌof€a€disability,€I€am€incapable€of€consenting€to€the€adoption€orÐ `  ÐÌof€effectively€participating€in€the€adoption€proceeding€or€(ii)Ð ¼  ÐÌmy€adoption€or€guardianship€would€involuntarily€terminate€theÐ h¸ ÐÌparental€rights€of€at€least€one€of€my€parents.ó ó€òòóóÐ d ÐÌ€€ò ò(b)òòóó€Even€if€the€court€is€not€required€to€appoint€anÐ À ÐÌattorney€for€me,€if€I€am€under€18€years€of€age€the€court€mayÐ l¼ ÐÌnevertheless€appoint€an€attorney€for€me.ó ó€Ð h ÐÌ€€ò ò(c)€€If€I€choose€to€seek€the€appointment€or€advice€of€anÐ Ä ÐÌattorney,€I€cannot€now€consent€to€the€adoption€and€this€ConsentÐ pÀ  ÐÌForm€will€be€ineffective€as€a€consent.ó ó€Ð !l" ÐÌ€€€€ò òò òCheck€one€of€the€following€statements:ó óó ó€€Ð È"$ ÐÌ€€€€ò ò[€€]€I€do€not€want€an€attorney.ó ó€Ð ‚$Ò& Ѐ€€€Ð X%¨ ' Ѐ€€€ò ò[€€]€I€already€have€an€attorney€whose€name,€address,€andó óÐ .&~!( ÐÌ€€€€€€€€€ò òtelephone€number€are€__________________________________ó óÐ Ú'*#* ÐÌò ò________________________________________________________________.Ð †)Ö$, Ѐ€€€€(Name)€€€€€€€€€€€€(Address)€€€€€€€€€€€(Telephone€Number)ó ó€Ð \*¬%- ÐÌ€€€€ò ò[€€]€I€want€an€attorney.ó ó€Ð ,X'/ ÐÌÌ€€€ò òò ò[IF€A€REQUEST€IS€MADE€FOR€AN€ATTORNEY,€SIGN€HERE€AND€DO€NOTó óÐ Š.Ú)2 Ѐ€€€ò òCOMPLETE€THE€REST€OF€THIS€FORM]ó ó€ó óÐ ° ÐÌò ò____________________________ó ó€€€€€€ò ò_______________________________ó óÐ jº Ðò ò(Date)ó ó€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Signature)ó ó€Ð @ ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò_______________________________ó óÐ ì< Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Address)ó ó€Ð   ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò_______________________________ó óÐ n ¾ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Telephone€Number)ó ó€Ð D ”  ЀÌÌ€€€ò ò4.€Access€to€Birth€and€Adoption€Records.ó ó€Ð Æ  Ѐ̀€€ò òI€understand€that€when€I€am€at€least€21€years€old,€myÐ r  ÐÌbiological€parents€or€I€may€apply€to€the€Secretary€of€Health€andÐ n  ÐÌMental€Hygiene€for€access€to€certain€birth€and€adoption€records.Ð Ê ÐÌIf€I€do€not€want€information€about€me€to€be€disclosed,€I€have€theÐ vÆ ÐÌright€to€prevent€disclosure€by€filing€a€disclosure€veto€when€I€amÐ "r ÐÌat€least€20€years€old.€€I€acknowledge€receiving€a€copy€of€the€Ð Î ÐÌMaryland€Code,€Family€Law€Article,€Title€5,€Subtitle€3A€and€aÐ zÊ ÐÌform€that€I€may€use€if€I€want€to€file€a€disclosure€veto.ó ó€€€€€€€€€€Ð &v ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò_______________ó ó_Ð Ò" Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Initials)ó ó€Ð ¨ø ÐÌò ò(This€paragraph€applies€to€adoptions€finalized€on€or€afterÐ T ¤! ÐJanuary€1,€2000.)ó ó€Ð *!z" Ѐ̀€€ò ò5.€Adoption€Search,€Contact,€and€Reunion€Services.ó ó€Ð Ö"&$ Ѐ̀€€ò òI€understand€that€when€I€am€at€least€21€years€old,€myÐ ‚$Ò& ÐÌbiological€parents€or€I€may€apply€to€the€Director€of€the€SocialÐ .&~!( ÐÌServices€Administration€of€the€Department€of€Human€Resources€forÐ Ú'*#* ÐÌadoption€search,€contact,€and€reunion€services.€€I€acknowledgeÐ †)Ö$, ÐÌreceiving€a€copy€of€the€Maryland€Code,€Family€Law€Article,€TitleÐ 2+‚&. ÐÌ5,€Subtitle€4B.ó ó€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò_______________ó óÐ Þ,.(0 Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Initials)ó ó€Ð ´-)1 ЀÐ Š.Ú)2 Ѐ€€ò ò6.€Effect€of€Consent€and€Adoptionó ó€Ð ° Ѐ̀€€ò òI€understand€that,€by€signing€this€Consent,€I€agree€to€theÐ \¬ ÐÌcontents€of€it.€€I€also€understand€that,€if€a€court€enters€aÐ X ÐÌjudgment€of€adoption,€I€will€become€the€child€of€the€persons€whoÐ ´  ÐÌadopt€me€and€I€will€no€longer€be€the€legal€child€of€any€parentÐ ` ° ÐÌwhose€parental€relationship€to€me€is€terminated€by€the€judgment.ó ó€Ð  \  ÐÌ€€€ò ò7.€Right€to€Revoke€Consent€„€Limitationsó ó€Ð ¸  Ѐ̀€€ò òI€understand€that€the€only€way€in€which€I€can€revoke€thisÐ d´  ÐÌConsent€is€by€delivering€my€revocation€to€the€followingÐ `  ÐÌperson:ó ó€Ð ¼  ÐÌò òClerk€of€the€Circuit€Court€foró ó€_________________________________Ð h¸ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Name€of€County)ó ó€Ð >Ž ÐÌò òAttention:€Adoption€Clerkó ó€Ð ê: ÐÌÌ________________________________________________________________Ð l¼ Ѐ€€€€€€€€€€€ò ò(Address€and€Telephone€Number€of€Court)ó ó€Ð B’ ÐÌ________________________________________________________________Ð î> ÐÌò òòòin€writingóó,€prior€to€entry€of€a€judgment€of€adoption€by€a€court,Ð šê ÐÌthat€my€consent€is€revoked.€€The€revocation€must€be€signed€by€meÐ L œ! ÐÌand€should€contain€my€printed€name,€address,€sex,€date€of€birth,Ð ø!H# ÐÌand€the€names€of€my€parents€or€guardian.ó ó€Ð ¤#ô% Ѐ̀€€ò òI€understand€that€revocation€by€telephone€or€other€oralÐ P%  ' ÐÌconversation€or€by€writing€to€anyone€other€than€the€person€namedÐ ü&L") ÐÌabove€will€not€constitute€a€valid€revocation.€€I€understand€thatÐ ¨(ø#+ ÐÌI€may€deliver€my€written€revocation€by€mail€or€in€person,€but€ifÐ T*¤%- ÐÌit€is€not€received€€by€the€clerk€prior€to€entry€of€a€judgment€ofÐ ,P'/ ÐÌadoption€by€a€court,€it€will€not€constitute€a€valid€revocation.ó ó€Ð ¬-ü(1 ÐÐ ‚.Ò)2 Ѐ€€ò ò8.€Consentó ó€Ð ° Ѐ̀€€ò òHaving€read€carefully€all€of€the€above€statements,€I€freely,Ð \¬ ÐÌvoluntarily,€and€unequivocally€consent€to€being€adopted€byÐ X ÐÌ___________________________€and€_______________________________Ð ´  ÐÌand€(if€applicable)€I€consent€to€the€change€of€my€name€toÐ ` ° ÐÌ______________________________________________________________.ó ó€Ð  \  Ѐ̀€€ò ò9.€Waiver€of€Notice€of€Adoption€Proceedingó ó€Ð ¸  Ѐ̀€€ò òI€understand€that,€based€on€this€Consent,€a€petition€forÐ d´  ÐÌadoption€will€be€filed€in€court€and€that€I€have€the€rightÐ `  ÐÌto€be€notified€when€the€petition€is€filed€and€of€furtherÐ ¼  ÐÌproceedings€concerning€the€adoption.€€I€also€understand€that€IÐ h¸ ÐÌmay€waive€my€right€to€notice.ó ó€Ð d Ѐ̀€€ò òò òCheck€one€of€the€following€statements:ó óó ó€€Ð À ÐÌ€€ò ò[€€]€I€waive€notice€of€all€proceedings€concerning€the€adoption,ó óÐ zÊ ÐÌ€€€€€€€ò òincluding€entry€of€judgment.€I€understand€that€a€courtó óÐ &v ÐÌ€€€€€€€ò òrepresentative€may€nonetheless€contact€me€in€connectionó óÐ Ò" ÐÌ€€€€€€€ò òwith€these€proceedings.ó ó€Ð ~Î  Ѐ̀€ò ò[€€]€I€want€to€receive€notice€of€the€filing€of€the€petition€butó óÐ *!z" ÐÌ€€€€€€€ò òwaive€notice€of€all€further€proceedings€concerning€theó óÐ Ö"&$ ÐÌ€€€€€€€ò òadoption.€€I€understand€that€notice€will€be€sent€to€theó óÐ ‚$Ò& ÐÌ€€€€€€€ò òaddress€given€by€me€on€this€form€unless€I€advise€the€clerkó óÐ .&~!( ÐÌ€€€€€€€ò òof€the€court€stated€in€Paragraph€7€of€this€Consent,€inó óÐ Ú'*#* ÐÌ€€€€€€€ò òwriting,€of€a€change€in€my€address.ó ó€Ð †)Ö$, Ѐ̀€ò ò[€€]€I€want€to€receive€notice€of€the€filing€of€the€petition€andó óÐ 2+‚&. ÐÌ€€€€€€€ò òof€further€proceedings€concerning€the€adoption.€€Ió ó€Ð Þ,.(0 ÐÌ€€€€€€€ò òunderstand€that€notice€will€be€sent€to€the€address€givenó óÐ Š.Ú)2 Ї€€€€€€€ò òby€me€on€this€form€unless€I€advise€the€clerk€of€the€courtó ó€Ð ° ÐÌ€€€€€€€ò òstated€in€Paragraph€7€of€this€Consent,€in€writing,€of€aó óÐ \¬ ÐÌ€€€€€€€ò òchange€in€my€address.ó ó€Ð X Ѐ̀€€ò ò10.€I€acknowledge€that€I€have€read€this€Consent€or€haveÐ ´  ÐÌhad€it€read€to€me€in€a€language€that€I€understand,€that€IÐ ` ° ÐÌunderstand€it,€and€that€I€have€received€a€copy€of€the€signedÐ  \  ÐÌConsent€to€keep.€€I€further€acknowledge€that€no€one€has€persuadedÐ ¸  ÐÌme€to€sign€this€consent€or€any€other€form€or€paper€regarding€thisÐ d´  ÐÌadoption€against€my€will.ó ó€Ð `  Ð̀̀€€ò òI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ ’â ÐÌcontents€of€the€foregoing€consent€form€are€true€to€the€best€of€myÐ >Ž ÐÌknowledge,€information,€and€belief.ó ó€Ð ê: ÐÌÌò ò________________________€€€€€€€€________________________________ó óÐ l¼ Ðò ò(Date)€€€€€€€€€€€€€€€€€€€€€€€€€€(Signature)ó ó€Ð B’ ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò________________________________ó óÐ î> Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Address)ó ó€Ð Ä Ѐ̀€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò________________________________ó óÐ pÀ  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Telephone€Number)ó ó€Ð F –! ÐÌÌSource:€€This€Rule€is€derived€in€part€from€former€Rule€D73€and€isÐ È"$ Ðin€part€new.Ð  ž#î% ÐÔ#†Xb$XX Xb$C#ÔÑ€bÑà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„103€by€changing€the€titling€of€a€case€inÐ 6 †  ÐÌsection€(a);€by€adding€the€word€ð ðeffectivelyðð€to€subsection€Ð â 2  ÐÌ(b)(1)(K);€by€updating€a€statutory€reference€in€subsectionÐ ŽÞ  ÐÌ(b)(1)(P);€by€modifying€subsection€(b)(2)(A)(vi)€to€deleteÐ :Š  ÐÌlanguage€pertaining€to€a€ð ðpre„placement€reportðð€and€to€addÐ æ6 ÐÌlanguage€pertaining€to€an€ð ðadoption€home€study,ðð€ð ðcriminalÐ ’â ÐÌbackground€reports,ðð€and€ð ðchild€abuse€clearances;ðð€by€addingÐ >Ž ÐÌlanguage€pertaining€to€ð ðaffidavits€of€translators€or€attorneysððÐ ê: ÐÌand€an€expanded€cross€reference€to€subsection€(b)(2)(A)(viii);€byÐ –æ ÐÌadding€a€new€subsection€(b)(2)(A)(ix)€pertaining€to€proof€ofÐ B’ ÐÌguardianship€or€relinquishment€of€parental€rights;€by€adding€aÐ î> ÐÌcross€reference€after€subsection€(b)(2)(A)(ix);€by€adding€a€newÐ šê ÐÌcross€reference€after€subsection€(b)(2)(A)(x);€by€adding€languageÐ F –! ÐÌto€subsection€(b)(2)(A)(xi)€pertaining€to€redraction€of€languageÐ ò!B# ÐÌin€adoption€agreements;€by€adding€a€cross€reference€after€Ð ž#î% ÐÌsubsection€(b)(2)(A)(xi);€by€adding€the€phrase€ð ðif€applicableððÐ J%š ' ÐÌto€subsection€(b)(2)(A)(xiii);€by€adding€subsection€(b)(2)(A)Ð ö&F") ÐÌ(xiv)€pertaining€to€a€notice€of€filing;€by€adding€the€phraseÐ ¢(ò#+ ÐÌð ðif€applicableðð€to€subsection€(b)(2)(B)(i);€by€adding€a€crossÐ N*ž%- ÐÌreference€after€subsection€(b)(2)(B)(i);€by€updating€the€crossÐ ú+J'/ ÐÌreference€after€subsection€(b)(2)(B)(iii),€by€deleting€languageÐ ¦-ö(1 ÐÐ |.Ì)2 Ðin€subsection€(b)(2)(B)(iv)€and€adding€references€to€certain€CodeÐ ° ÐÌsections;€by€adding€a€new€subsection€(b)(2)(B)(v)€pertaining€toÐ \¬ ÐÌan€affidavit€of€counsel;€by€updating€the€cross€reference€afterÐ X ÐÌsubsection€(b)(2)(B)(v);€by€updating€the€cross€reference€afterÐ ´  ÐÌsection€(c);€by€deleting€section€(e);€and€by€relettering€certainÐ ` ° ÐÌsections€and€subsections;€as€follows:Ð  \  ÐÌÌRule€9„103.€€PETITION€Ð ŽÞ  ÐÌÌÓÓ€€(a)€€Titling€of€CaseÐ `  ÐÓÓ€€€€€€€ò òExcept€as€otherwise€provided€in€Rule€9„105,€a€proceeding€Ð ¼  ÐÌshall€be€titled,€ð" ðIn€the€matter€of€the€Petition€of€____________€Ð h¸ ÐÌ_______________________________________________________________Ð d ÐÌ________________________________________________________________ó óÐ À Ѐ€€€€€€€€€€€€€€€€€€€€€€ò ò(name€of€petitioner(s))ó ó€Ð –æ ÐÌò òfor€the€Adoption€of€[a€Minor]€[an€Adult],ð" ð€or€ð" ðIn€the€matter€of€Ð B’ ÐÌthe€Petition€of€________________________________________________Ð î> ÐÌ________________________________________________________________ó óÐ šê Ѐ€€€€€€€€€€€€€€€€€€€€€€€€ò ò(name€of€petitioner(s))ó ó€Ð pÀ  ÐÌò òfor€Guardianship€with€Right€to€Consent€to€Adoption€or€Long„TermÐ !l" ÐÌCare€Short€of€Adoption,ð" ð€as€the€case€may€be.ó óÐ È"$ ÐÌ€€€€€€€€òòA€proceeding€shall€be€titled€ð ðIn€re€Adoption/GuardianshipÐ t$Ä& ÐÌof€_________________________________________€(first€name€andÐ  &p!( ÐÌfirst€initial€of€last€name€of€prospective€adoptee€or€ward).ððóóÐ Ì'#* ÐÌÓÓ€€(b)€€Petition€for€AdoptionÐ x)È$, Ѐ€€€(1)€ContentsÐ $+t&. Ðà  à€€€A€petition€for€adoption€shall€be€signed€and€verified€byÐ Ð, (0 Ðeach€petitioner€and€shall€contain€the€following€information:€€Ð |.Ì)2 Ѐ€€€€€(A)€The€name,€address,€age,€business€or€employment,€andÐ ° Ðemployer€of€each€petitioner;€€Ð \¬ Ðà  à€(B)€The€name,€sex,€and€date€and€place€of€birth€of€theÐ X Ðperson€to€be€adopted;€€Ð ´  Ðà  à€(C)€The€name,€address,€and€age€of€each€parent€of€the€personÐ ` ° Ðto€be€adopted;€€Ð  \  Ðà  à€(D)€Any€relationship€of€the€person€to€be€adopted€to€eachÐ ¸  Ðpetitioner;€€Ð d´  Ðà  à€(E)€The€name,€address,€and€age€of€each€child€of€eachÐ `  Ðpetitioner;€€Ð ¼  Ðà  à€(F)€A€statement€of€how€the€person€to€be€adopted€was€locatedÐ h¸ Ð(including€names€and€addresses€of€all€intermediaries€orÐ d Ðsurrogates),€attaching€a€copy€of€all€advertisements€used€toÐ À Ðlocate€the€person,€and€a€copy€of€any€surrogacy€contract;€€Ð l¼ ÐÓÓCommittee€note:€€If€the€text€of€an€advertisement€was€usedÐ h Ðverbatim€more€than€once,€the€requirement€that€a€copy€of€allÐ î> Ðadvertisements€be€attached€to€the€petition€may€be€satisfied€byÐ Ä Ðattaching€a€single€copy€of€the€advertisement,€together€with€aÐ šê Ðlist€of€the€publications€in€which€the€advertisement€appeared€andÐ pÀ  Ðthe€dates€on€which€it€appeared.€€Ð F –! ÐÌÓÓà  à€(G)€If€the€person€to€be€adopted€is€a€minor,€the€names€andÐ ò!B# Ðaddresses€of€all€persons€who€have€had€legal€or€physical€care,Ð ž#î% Ðcustody,€or€control€of€the€minor€since€the€minor's€birth€and€theÐ J%š ' Ðperiod€of€time€during€which€each€of€those€persons€has€had€care,Ð ö&F") Ðcustody,€or€control,€but€it€is€not€necessary€to€identify€theÐ ¢(ò#+ Ðnames€and€addresses€of€foster€parents,€other€than€a€petitioner,Ð N*ž%- Ðwho€have€taken€care€of€the€minor€only€while€the€minor€has€beenÐ ú+J'/ Ðcommitted€to€the€custody€of€a€child€placement€agency;€€Ð ¦-ö(1 Ðà  à€(H)€If€the€person€to€be€adopted€is€a€minor€who€has€beenÐ ° Ðtransported€from€another€state€to€this€State€for€purposes€ofÐ \¬ Ðplacement€for€adoption,€a€statement€of€whether€there€has€beenÐ X Ðcompliance€with€the€Interstate€Compact€on€the€Placement€ofÐ ´  ÐChildren€(ICPC);€€Ð ` ° Ðà  à€(I)€If€applicable,€the€reason€why€the€spouse€of€theÐ  \  Ðpetitioner€is€not€joining€in€the€petition;€€Ð ¸  Ðà  à€(J)€If€there€is€a€guardian€with€the€right€to€consent€toÐ d´  Ðadoption€for€the€person€to€be€adopted,€the€name€and€address€ofÐ `  Ðthe€guardian€and€a€reference€to€the€proceeding€in€which€theÐ ¼  Ðguardian€was€appointed;€€Ð h¸ Ðà  à€(K)€Facts€known€to€each€petitioner€that€may€indicate€that€aÐ d Ðparty€has€a€disability€that€makes€the€party€incapable€ofÐ À Ðconsenting€or€participating€òòeffectivelyóó€in€the€proceedings,€or,Ð l¼ Ðif€no€such€facts€are€known€to€the€petitioner,€a€statement€to€thatÐ h Ðeffect;€€Ð Ä Ðà  à€(L)€Facts€known€to€each€petitioner€that€may€entitle€theÐ pÀ  Ðperson€to€be€adopted€or€a€parent€of€that€person€to€theÐ !l" Ðappointment€of€an€attorney€by€the€court;€€Ð È"$ Ðà  à€(M)€If€a€petitioner€desires€to€change€the€name€of€theÐ t$Ä& Ðperson€to€be€adopted,€the€name€that€is€desired;€€Ð  &p!( Ðà  à€(N)€As€to€each€petitioner,€a€statement€whether€theÐ Ì'#* Ðpetitioner€has€ever€been€convicted€of€a€crime€other€than€a€minorÐ x)È$, Ðtraffic€violation€and,€if€so,€the€offense€and€the€date€and€placeÐ $+t&. Ðof€the€conviction;€€Ð Ð, (0 Ðà  à€(O)€That€the€petitioner€is€not€aware€that€any€requiredÐ |.Ì)2 Ðconsent€has€been€revoked;€and€€Ð ° Ðà  à€(P)€If€placement€pending€final€action€on€the€petition€isÐ \¬ Ðsought€in€accordance€with€Code,€Family€Law€Article,€ò òðð5„507€(c)ó óÐ X Ðòòðð5„3B„12óó,€a€request€that€the€court€approve€the€proposedÐ ´  Ðplacement.€€Ð ` ° Ѐ€€€(2)€ExhibitsÐ  \  Ðà  à€(A)€The€following€documents€shall€accompany€the€petition€asÐ ¸  Ðexhibits:€€Ð d´  Ðà  à€€€(i)€A€certified€copy€of€the€birth€certificate€or€ð" ðproofÐ `  Ðof€live€birthð" ð€of€the€person€to€be€adopted;€€Ð ¼  Ðà  à€€€(ii)€A€certified€copy€of€the€marriage€certificate€of€eachÐ h¸ Ðmarried€petitioner;€€Ð d Ðà  à€€€(iii)€A€certified€copy€of€all€judgments€of€divorce€ofÐ À Ðeach€petitioner;€€Ð l¼ Ðà  à€€€(iv)€A€certified€copy€of€any€death€certificate€of€aÐ h Ðperson€whose€consent€would€be€required€if€that€person€wereÐ Ä Ðliving;€€Ð pÀ  Ðà  à€€€(v)€A€certified€copy€of€all€orders€concerning€temporaryÐ !l" Ðcustody€or€guardianship€of€the€person€to€be€adopted;€€Ð È"$ Ðà  à€€€(vi)€A€copy€of€any€ò òpre„placement€reportó ó€òòexisting€adoptionÐ t$Ä& Ðhome€study€by€a€licensed€child€placement€agencyóó€concerning€aÐ  &p!( Ðpetitioneròò,€criminal€background€reports,€or€child€abuseÐ Ì'#* Ðclearancesóó;€€Ð x)È$, Ðà  à€€€(vii)€A€document€evidencing€the€annual€income€of€eachÐ $+t&. Ðpetitioner;€€Ð Ð, (0 Ðà  à€€€(viii)€The€original€of€all€consents€to€the€adoptionòò,€anyÐ |.Ì)2 Ðrequired€affidavits€of€translators€or€attorneys,óó€and,€ifÐ ° Ðavailable,€a€copy€of€any€written€statement€by€the€consentingÐ \¬ Ðperson€indicating€a€desire€to€revoke€the€consent,€whether€or€notÐ X Ðthat€statement€constitutes€a€valid€revocation;€€Ð ´  ÐÓÓCross€reference:€òòSeeóó€Code,€Family€Law€Article,€ò òðððð5„311ó ó€òòðððð5„313,Ð ` ° Ð5„320,€and€5„321€as€to€a€Public€Agency€Guardianship;€5„331,€5„Ð 6 †  Ð338,€and€5„339€as€to€a€Public€Agency€Adoption€without€Prior€TPR;Ð  \  Ð5„345,€5„350,€and€5„351€as€to€a€Public€Agency€Adoption€after€TPR;Ð â 2  Ð5„3A„13,€5„3A„18,€and€5„3A„19€as€to€a€Private€AgencyÐ ¸  ÐGuardianship;€5„3A„35€as€to€a€Private€Agency€Adoption;€and€5„3B„Ð ŽÞ  Ð20€and€5„3B„21€as€to€an€Independent€Adoption.óóÐ d´  ÐÌÓÓà  à€€€òò(ix)€If€applicable,€proof€of€guardianship€orÐ `  Ðrelinquishment€of€parental€rights€granted€by€an€administrative,Ð ¼  Ðexecutive,€or€judicial€body€of€a€state€or€other€jurisdiction;€aÐ h¸ Ðcertification€that€the€guardianship€or€relinquishment€was€grantedÐ d Ðin€compliance€with€the€jurisdictionððs€laws;€and€any€appropriateÐ À Ðtranslation€of€documents€required€to€allow€the€child€to€enter€theÐ l¼ ÐUnited€States;óóÐ h ÐÓÓòòCross€reference:€See€Code,€Family€Law€Article,€ðððð5„305,€5„313,Ð Ä Ðand€5„320€as€to€a€Public€Agency€Guardianship;€5„305,€5„331,€andÐ šê Ð5„338€as€to€a€Public€Agency€Adoption€without€Prior€TPR;€5„305€andÐ pÀ  Ð5„345€as€to€a€Public€Agency€Adoption€after€TPR;€5„3A„05,€5„3A„13,Ð F –! Ðand€5„3A„18€as€to€a€Private€Agency€Guardianship;€5„3A„05€as€to€aÐ !l" ÐPrivate€Agency€Adoption;€and€5„3B„04€and€5„3B„20€as€to€anÐ ò!B# ÐIndependent€Adoption.óóÐ È"$ ÐÌÓÓà  à€€€ò ò(ix)ó ó€òò(x)óó€If€a€parent€of€the€person€to€be€adopted€cannotÐ t$Ä& Ðbe€identified€or€located,€an€affidavit€of€each€petitioner€and€theÐ  &p!( Ðother€parent€describing€the€attempts€to€identify€and€locate€theÐ Ì'#* Ðunknown€or€missing€parent;€€Ð x)È$, ÐòòÓÓCross€reference:€See€Code,€Family€Law€Article,€ðððð5„331€and€5„334Ð $+t&. Ðas€to€a€Public€Agency€Adoption€without€Prior€TPR€and€5„3B„15€asÐ ú+J'/ Ðto€an€Independent€Adoption.óóÐ Ð, (0 ÐÌÓÓà  à€€€ò ò(x)ó ó€òò(xi)óó€A€copy€of€any€agreement€between€a€parent€of€theÐ |.Ì)2 Ðperson€to€be€adopted€and€a€petitioner€relating€to€the€proposedÐ ° Ðadoption€òòwith€any€required€redactionóó;Ð \¬ ÐÓÓòòCross€reference:€€See€Code,€Family€Law€Article,€ðððð5„308€and€5„331Ð X Ðas€to€a€Public€Agency€Adoption€without€Prior€TPR;€5„308€and€5„345Ð Þ. Ðas€to€a€Public€Agency€Adoption€after€TPR;€5„3A„08€as€to€a€PrivateÐ ´  ÐAgency€Adoption;€and€5„3B„07€as€to€an€Independent€Adoption.óóÐ Š Ú ÐÌÓÓà  à€€€ò ò(xi)ó ó€òò(xii)óó€If€the€adoption€is€subject€to€the€InterstateÐ 6 †  ÐCompact€on€the€Placement€of€Children,€the€appropriate€ICPCÐ â 2  Ðapproval€forms;€ò òandó ó€€Ð ŽÞ  ÐCross€reference:€€Code,€Family€Law€Article,€ðð5„601.€€Ð :Š  Ðà  à€€€ò ò(xii)ó ó€òò(xiii)óó€A€brief€statement€of€the€health€of€eachÐ æ6 Ðpetitioner€signed€by€a€physician€or€other€health€care€provider€òòifÐ ’â Ðapplicable;€andóóÐ >Ž Ðà  à€€€òò(xiv)€If€required,€a€notice€of€filing€as€prescribed€byÐ ê: ÐCode,€Family€Law€Article:óóÐ –æ Ѐ€€€€€€€€€òò(1)€ðð5„313€in€a€Public€Agency€Guardianship;óóÐ B’ Ðà  à€€€€€òò(2)€ðð5„331€in€a€Public€Agency€Adoption€without€PriorÐ î> ÐTPR;€oróóÐ šê Ѐ€€€€€€€€€òò(3)€ðð5„345€in€a€Public€Agency€Adoption€after€TPR.óóÐ F –! Ðà  à€(B)€The€following€documents€shall€be€filed€before€aÐ ò!B# Ðjudgment€of€adoption€is€entered:€€Ð ž#î% Ðà  à€€€(i)€Any€post„placement€report€relating€to€the€adoptionòò,Ð J%š ' Ðif€applicableóó;€€Ð ö&F") ÐòòÓÓCross€reference:€€See€Code,€Family€Law€Article,€ðððð5„337€as€to€aÐ ¢(ò#+ ÐPublic€Agency€Adoption€without€Prior€TPR;€5„349€as€to€a€PublicÐ x)È$, ÐAgency€Adoption€after€TPR;€5„3A„31€and€5„3A„34€as€to€a€PrivateÐ N*ž%- ÐAgency€Adoption;€and€5„3B„16€as€to€an€Independent€Adoption.óóÐ $+t&. ÐÌÓÓà  à€€€(ii)€A€brief€statement€of€the€health€of€the€child€by€aÐ Ð, (0 Ðphysician€or€other€health€care€provider;€€Ð |.Ì)2 Ðà  à€€€(iii)€If€required€by€law,€an€accounting€of€all€paymentsÐ ° Ðand€disbursements€of€any€money€or€item€of€value€made€by€or€onÐ \¬ Ðbehalf€of€each€petitioner€in€connection€with€the€adoption;€€Ð X ÐÓÓCross€reference:€€See€Code,€Family€Law€Article,€ò òðð5„327€(c)ó ó€òòðð5„3B„Ð ´  Ð24€as€to€an€Independent€Adoptionóó.Ð Š Ú Ѐ€Ð ` ° ÐÓÓà  à€€€(iv)€An€affidavit€of€counsel€òòfor€a€parentóó,€if€ò òany,€for€aÐ 6 †  Ðminor€parent€or€parent€under€a€disability€attesting€to€theÐ â 2  Ðvoluntariness€of€the€parent's€consent;ó ó€òòrequired€by€Code,€FamilyÐ ŽÞ  ÐLaw€Article:óóÐ :Š  Ðà  àà ` àòò(1)€ðððð5„307€and€5„321€in€a€Public€Agency€Guardianship;óó€Ð æ6 Ðà  à€€€€€òò(2)€ðððð5„307€and€5„339€in€a€Public€Agency€AdoptionÐ ’â Ðwithout€Prior€TPR;óóÐ >Ž Ðà  à€€€€€òò(3)€ðððð5„3A„07€and€5„3A„19€in€a€Private€AgencyÐ ê: ÐGuardianship;€oróóÐ –æ Ðà  à€€€€€òò(4)€ðððð5„3B„06€and€5„3B„21€in€an€Independent€Adoption.óóÐ B’ Ðà  à€€€òò(v)€An€affidavit€of€counsel€for€a€child,€if€the€child€isÐ î> Ðrepresented;óóÐ šê ÐÓÓCross€reference:€See€Code,€Family€Law€Article,€ò òðð5„314€(b)ó ó€òòðððð5„307Ð F –! Ðand€5„338€as€to€a€Public€Agency€Adoption€without€Prior€TPR;€5„307Ð !l" Ðand€5„350€as€to€a€Public€Agency€Adoption€after€TPR;€5„3A„07€andÐ ò!B# Ð5„3A„35€as€to€a€Private€Agency€Adoption;€and€5„3B„06€and€5„3B„20Ð È"$ Ðas€to€an€Independent€Adoptionóó.€€Ð ž#î% ÐÌÓÓà  à€€€ò ò(v)ó ó€òò(vi)óó€If€the€adoption€is€subject€to€the€InterstateÐ J%š ' ÐCompact€on€the€Placement€of€Children,€the€required€post„placementÐ ö&F") Ðform;€€Ð ¢(ò#+ Ðà  à€€€ò ò(vi)ó ó€òò(vii)óó€A€proposed€judgment€of€adoption;€and€€Ð N*ž%- Ðà  à€€€ò ò(vii)ó ó€òò(viii)óó€A€Department€of€Health€and€Mental€HygieneÐ ú+J'/ ÐCertificate€of€Adoption€Form.€€Ð ¦-ö(1 ÐCross€reference:€€Code,€Health„General€Article,€ðð4„211€(f).€€Ð ° Ѐ€(c)€€Petition€for€GuardianshipÐ \¬ Ðà  à€€A€petition€for€guardianship€shall€state€all€facts€requiredÐ X Ðby€subsection€(b)(1)€of€this€Rule,€to€the€extent€that€theÐ ´  Ðrequirements€are€applicable€and€known€to€the€petitioner.€€ItÐ ` ° Ðshall€be€accompanied€by€all€documents€required€to€be€filed€asÐ  \  Ðexhibits€by€subsection€(b)(2)€of€this€Rule,€to€the€extent€theÐ ¸  Ðdocuments€are€applicable.€€The€petition€shall€also€state€theÐ d´  Ðlicense€number€of€the€child€placement€agency.€€Ð `  ÐÓÓCross€reference:€See€Code,€Family€Law€Article,€ò òðð5„317€(b)ó ó€òòðððð5„313Ð ¼  Ðas€to€a€Public€Agency€Guardianship€and€5„3A„13€as€to€a€PrivateÐ ’â ÐAgency€Guardianshipóó.€€Ð h¸ ÐÌÓÓ€€(d)€€If€Facts€Unknown€or€Documents€UnavailableÐ d Ðà  à€€If€a€fact€required€by€subsection€(b)(1)€or€section€(c)€ofÐ À Ðthis€Rule€is€unknown€to€a€petitioner€or€if€a€document€required€byÐ l¼ Ðsubsection€(b)(2)€or€section€(c)€is€unavailable,€the€petitionerÐ h Ðshall€so€state€and€give€the€reason€in€the€petition€or€in€aÐ Ä Ðsubsequent€affidavit.€€If€a€document€required€to€be€submittedÐ pÀ  Ðwith€the€petition€becomes€available€after€the€petition€is€filed,Ð !l" Ðthe€petitioner€shall€file€it€as€soon€as€it€becomes€available.€€Ð È"$ ÐÓÓ€€ò ò(e)€€Judgment€from€Foreign€Countryó óÐ t$Ä& ÐÌÓÓà  à€€ò òWhen€a€judgment€of€adoption€or€guardianship€is€soughtÐ  &p!( Ðpursuant€to€Code,€Family€Law€Article,€ðð5„313.1,€an€exemplifiedÐ Ì'#* Ðcopy€of€the€judgment€granted€by€the€foreign€jurisdiction€shall€beÐ x)È$, Ðfiled€with€the€petition.ó óÐ $+t&. ÐÓÓò òCommittee€note:€€For€exemplification€procedure,€see€Federal€RuleÐ Ð, (0 Ðof€Civil€Procedure€44€(a)(2).ó ó€€Ð ¦-ö(1 ÐÐ |.Ì)2 ÐÓÓ€€ò ò(f)ó ó€òò(e)óó€Disclosure€of€Facts€Known€to€Child€Placement€AgencyÐ ° Ðà  à€€If€any€fact€required€by€subsection€(b)(1)€of€this€Rule€toÐ \¬ Ðbe€stated€is€known€to€a€child€placement€agency€and€the€agencyÐ X Ðdeclines€to€disclose€it€to€a€petitioner,€the€agency€shallÐ ´  Ðdisclose€the€fact€to€the€court€in€writing€at€the€time€theÐ ` ° Ðpetition€is€filed.€€Ð  \  ÐÓÓSource:€€This€Rule€is€derived€in€part€from€former€Rule€D72,€inÐ ¸  Ðpart€from€former€Rule€D80,€and€is€in€part€new.€€Ð ŽÞ  ÐÌÌÌÐ  æ6 Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„104€by€deleting€the€text€of€the€existing€Rule,Ð 6 †  ÐÌby€adding€a€new€section€(a)€referring€to€certain€Code€sections,Ð â 2  ÐÌand€by€adding€a€new€section€(b)€pertaining€to€a€statusÐ ŽÞ  ÐÌconference,€as€follows:Ð :Š  ÐÌÌRule€9„104.€€NOTICE€ò òTO€CONSENTING€PERSONSó ó€òòOF€FILING€OF€PETITION;Ð ¼  ÐÌSTATUS€CONFERENCEóóÐ h¸ ÐÌÌÓÓ€€ò ò(a)€€Upon€the€filing€of€a€petition€for€adoption€orÐ ê: Ðguardianship,€the€court€shall€send€a€notice€of€the€filing€to€eachÐ –æ Ðperson€whose€parental€rights€have€not€previously€been€terminatedÐ B’ Ðand€who,€pursuant€to€Rule€9„102,€has€consented€to€the€adoption€orÐ î> Ðguardianship€but€has€requested€notice€of€the€filing€of€theÐ šê Ðpetition.€€If€the€person€has€also€requested€notice€of€furtherÐ F –! Ðproceedings€concerning€the€adoption€or€guardianship,€the€courtÐ ò!B# Ðshall€send€notice€of€any€hearing€to€be€held€prior€to€the€entry€ofÐ ž#î% Ða€judgment€terminating€that€person's€parental€rights€and€of€theÐ J%š ' Ðentry€of€any€judgment€terminating€those€parental€rights.ó ó€€Ð ö&F") Ѐ€ò ò(b)€€Notice€under€this€Rule€shall€be€sent€by€first€class€mailÐ ¢(ò#+ Ðto€the€address€given€on€the€consent€form€unless€the€person€has,Ð N*ž%- Ðin€writing,€provided€a€new€address.ó ó€€Ð ú+J'/ Ѐ€ò ò(c)€€The€sending€of€notice€pursuant€to€this€Rule€does€notÐ ¦-ö(1 Ðaffect€the€consent€signed€by€the€person€or€give€the€person€anyÐ ° Ðstanding€to€participate€in€the€action.ó ó€€Ð \¬ Ѐ€òò(a)€€Notice€of€Filing€of€PetitionóóÐ X Ðà  à€€òòNotice€of€the€filing€of€a€petition€for€guardianship€orÐ ´  Ðadoption€shall€be€given€as€required€by€Code,€Family€Law€Article:óóÐ ` ° Ðà  àòò(1)€ðð5„315€in€a€Public€Agency€Guardianship;óóÐ  \  Ðà  àòò(2)€ðð5„333€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ ¸  Ðà  àòò(3)€ðð5„346€in€a€Public€Agency€Adoption€after€TPR;óóÐ d´  Ðà  àòò(4)€ðð5„3A„14€in€a€Private€Agency€Guardianship;óóÐ `  Ðà  àòò(5)€ðð5„3A„30€in€a€Private€Agency€Adoption;€andóóÐ ¼  Ðà  àòò(6)€ðð5„3B„14€in€an€Independent€Adoption.Ð h¸ ÐÓÓóó€€òò(b)€€Status€ConferenceóóÐ d ÐÌà  à€€òòIn€a€public€agency€guardianship€or€adoption,€at€the€timeÐ À ÐÌthe€notice€of€filing€is€sent,€the€court€shall€schedule€a€statusÐ l¼ ÐÌconference€no€later€than€60€days€after€the€filing€of€theÐ h ÐÌpetition.óóÐ Ä ÐÌSource:€€This€Rule€is€new.Ð pÀ  ÐÌÌÌÌÐ  ž#î% ÐÑ€/VÑÑ€_/V Ñà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„105€by€deleting€language€from€and€addingÐ 6 †  ÐÌlanguage€to€section€(a)€referring€to€certain€Code€provisions;€byÐ â 2  ÐÌdeleting€existing€subsection€(a)(2);€by€deleting€existing€sectionÐ ŽÞ  ÐÌ(b)€and€adding€a€new€section€(b)€pertaining€to€the€appointment€ofÐ :Š  ÐÌan€attorney€for€a€disabled€party;€by€adding€a€cross€referenceÐ æ6 ÐÌafter€section€(b);€by€deleting€existing€section€(c);€byÐ ’â ÐÌrelettering€certain€sections;€by€modifying€the€service€provisionsÐ >Ž ÐÌin€relettered€section€(c)€to€refer€to€certain€Code€provisions;€byÐ ê: ÐÌadding€to€relettered€subsection€(c)(3)€language€that€includes€aÐ –æ ÐÌreference€to€attaching€a€copy€of€the€petition€in€certainÐ B’ ÐÌproceedings;€by€deleting€existing€section€(f);€by€revising€theÐ î> ÐÌform€of€the€show€cause€order€to€clarify€it€and€conform€it€toÐ šê ÐÌstatutory€changes;€by€making€stylistic€changes€to€the€notice€ofÐ F –! ÐÌobjection/request€for€appointment€of€attorney€form€and€conformingÐ ò!B# Ðà  àà ` àà ¸ àà  àà h àà À àÌit€to€statutory€changes;€by€adding€a€new€section€(g)€referring€toÐ ž#î% ÐÌcertain€Code€provisions€for€the€form€of€notice€for€service€byÐ J%š ' ÐÌpublication€and€posting,€and€by€deleting€a€certain€CommitteeÐ ö&F") ÐÌnote,€as€follows:Ð ¢(ò#+ ÐÌÌÓÓRule€9„105.€€SHOW€CAUSE€ORDER;€DISABILITY€OF€A€PARTY;€OTHERÐ $+t&. ÐNOTICE€Ð Ð, (0 Ѐ€(a)€€Requirement€òòfor€Show€Cause€OrderóóÐ |.Ì)2 Ѐ€€€ò ò(1)€Generallyó óÐ ° Ðà  à€€€òòPromptlyóó€ò òUponó ó€òòuponóó€the€filing€of€a€petition€for€adoptionÐ \¬ Ðor€guardianship,€the€court€shall€ò òenteró ó€òòissueóó€a€show€cause€order€Ð X Ðin€òòsubstantiallyóó€the€form€set€forth€in€section€ò ò(h)ó ó€òò(e)óó€of€thisÐ ´  ÐRule€ò òunless€all€parties€entitled€to€service€of€the€show€causeÐ ` ° Ðorder€under€section€(b)€of€this€Rule€have€consented€to€theÐ  \  Ðadoption€or€guardianshipó ó€òòwhen€required€by€Code,€Family€LawÐ ¸  ÐArticle:óóÐ d´  Ѐ€€€€€òò(1)€ðð5„316€in€a€Public€Agency€Guardianship;óóÐ `  Ðà  à€òò(2)€ðð5„334€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ ¼  Ðà  à€òò(3)€ðð5„3A„15€in€a€Private€Agency€Guardianship;€oróóÐ h¸ Ðà  à€òò(4)€ðð5„3B„15€in€an€Independent€Adoption.óóÐ d ÐIf€the€petition€seeks€adoption€of€a€minor,€the€show€cause€orderÐ À Ðshall€not€divulge€the€name€of€the€petitioner.€€If€the€petitionÐ l¼ Ðseeks€appointment€of€a€guardian,€the€show€cause€order€shall€stateÐ h Ðthe€name€of€the€child€placement€agency€seeking€guardianship.Ð Ä Ѐ€€€ò ò(2)ó ó€òò(b)óó€€ò òDetermination€of€Disability€of€aó ó€òòAppointment€ofÐ pÀ  ÐAttorney€for€Disabledóó€PartyÐ !l" Ðà  à€€€ò òIf€the€petition€alleges€facts€that€indicate€that€a€partyÐ È"$ Ðhas€a€disability,€the€court€shall€(A)€appoint€an€attorney€for€theÐ t$Ä& Ðparty€if€the€party€is€not€represented,€(B)€set€a€prompt€hearingÐ  &p!( Ðto€determine€whether€the€party€has€a€disability€that€makes€theÐ Ì'#* Ðparty€incapable€of€consenting€or€participating€in€the€proceeding,Ð x)È$, Ðand€(C)€cause€subpoenas€to€be€issued€and€served€upon€theÐ $+t&. Ðpetitioner€and€the€party€requiring€their€attendance€at€theÐ Ð, (0 Ðhearing.ó ó€€Ð |.Ì)2 Ѐ€€€òò(1)€If€the€parties€agree€that€a€party€who€is€not€representedÐ ° Ðhas€a€disability€that€makes€the€party€incapable€of€consenting€orÐ \¬ Ðparticipating€effectively€in€the€proceeding,€the€court€shallÐ X Ðappoint€an€attorney€who€shall€represent€the€disabled€partyÐ ´  Ðthroughout€the€proceeding.óóÐ ` ° Ѐ€€€òò(2)€If€there€is€a€dispute€as€to€whether€a€party€who€is€notÐ  \  Ðrepresented€has€a€disability€that€makes€the€party€incapable€ofÐ ¸  Ðconsenting€or€participating€effectively€in€the€proceeding,€theÐ d´  Ðcourt€shall:óóÐ `  Ѐ€€€€€òò(A)€hold€a€hearing€promptly€to€resolve€the€dispute;óóÐ ¼  Ðà  à€òò(B)€appoint€an€attorney€to€represent€the€alleged€disabledÐ h¸ Ðparty€at€that€hearing;óóÐ d Ðà  à€òò(C)€provide€notice€of€that€hearing€to€all€parties;€andóóÐ À Ðà  à€òò(D)€if€the€court€finds€at€the€hearing€that€the€party€hasÐ l¼ Ðsuch€a€disability,€appoint€an€attorney€who€shall€represent€theÐ h Ðdisabled€party€throughout€the€proceeding.óóÐ Ä ÐÓÓòòCross€reference:€€See€Code,€Family€Law€Article,€ðððð5„307€as€to€aÐ pÀ  ÐPublic€Agency€Guardianship;€5„307€as€to€a€Public€Agency€AdoptionÐ F –! Ðwithout€Prior€TPR;€5„3A„07€as€to€a€Private€Agency€Guardianship;Ð !l" Ðand€5„3B„06€as€to€an€Independent€Adoption.€€For€eligibility€of€anÐ ò!B# Ðindividual€for€representation€by€the€Office€of€the€PublicÐ È"$ ÐDefender,€see€Code,€Family€Law€Article,€ðð5„307€and€Code,€ArticleÐ ž#î% Ð27A,€ðð4.óóÐ t$Ä& ÐÌÓÓ€€ò ò(b)€€Persons€to€be€Servedó óÐ  &p!( Ѐ€€€ò ò(1)€In€Adoption€Proceedingó óÐ Ì'#* Ðà  à€ò ò(A)€Subject€to€paragraphs€(1)(B),€(1)(C),€(1)(D),€andÐ x)È$, Ð(1)(E)€of€this€section,€if€the€petition€seeks€adoption,€the€showÐ $+t&. Ðcause€order€shall€be€served€on€(i)€the€person€to€be€adopted,€ifÐ Ð, (0 Ðthe€person€is€10€years€old€or€older;€(ii)€the€parents€of€theÐ |.Ì)2 Ðperson€to€be€adopted;€and€(iii)€any€other€person€the€courtÐ ° Ðdirects€to€be€served.ó ó€€Ð \¬ Ðà  à€ò ò(B)€If€the€parental€rights€of€the€parents€of€the€person€toÐ X Ðbe€adopted€have€been€terminated€by€a€judgment€of€guardianshipÐ ´  Ðwith€the€right€to€consent€to€adoption,€service€shall€be€on€theÐ ` ° Ðguardian€instead€of€the€parents.ó ó€€Ð  \  Ðà  à€ò ò(C)€If€an€attorney€has€been€appointed€to€represent€a€parentÐ ¸  Ðor€the€person€to€be€adopted,€service€shall€be€on€the€attorneyÐ d´  Ðinstead€of€the€parent€or€person€to€be€adopted.ó ó€€Ð `  Ðò òCross€reference:€€See€Rule€9„106€(a)€concerning€appointment€ofÐ ¼  Ðattorney.ó ó€€Ð h¸ Ðà  à€ò ò(D)€If€a€person€to€be€adopted€has€been€adjudicated€to€be€aÐ d Ðchild€in€need€of€assistance€in€a€prior€juvenile€proceeding€andÐ À Ðthe€court€is€satisfied€by€affidavit€or€testimony€that€theÐ l¼ Ðpetitioner€has€made€reasonable€good€faith€efforts€to€serve€theÐ h Ðshow€cause€order€on€the€person's€parent€by€both€certified€mailÐ Ä Ðand€private€process€at€the€addresses€specified€in€Code,€FamilyÐ pÀ  ÐLaw€Article,€ðð5„322€(b)€and€at€any€other€address€actually€knownÐ !l" Ðto€the€petitioner€as€one€where€the€parent€may€be€found,€the€courtÐ È"$ Ðshall€order€notice€to€that€parent€by€publication€pursuant€toÐ t$Ä& Ðsection€(c)€of€this€Rule.ó ó€€Ð  &p!( Ðà  à€ò ò(E)€The€show€cause€order€need€not€be€served€on€a€person€whoÐ Ì'#* Ðhas€executed€a€written€consent€pursuant€to€Rule€9„102.ó ó€€Ð x)È$, Ѐ€€€ò ò(2)€In€a€Guardianship€Proceedingó óÐ $+t&. Ðà  à€ò ò(A)€Subject€to€paragraphs€(2)(B),€(2)(C),€and€(2)(D)€ofÐ Ð, (0 Ðthis€section,€if€the€petition€seeks€guardianship,€the€show€causeÐ |.Ì)2 ÐÑ/V+Ñâ âÑXXÑâ âÑ  Ñorder€shall€be€served€on€(i)€the€parents€of€the€person€for€whom€aÐ ° Ðguardian€is€to€be€appointed€and€(ii)€any€other€person€that€theÐ \¬ Ðcourt€directs€to€be€served.ó ó€€Ð X Ðà  à€ò ò(B)€If€an€attorney€has€been€appointed€to€represent€a€parentÐ ´  Ðor€the€person€for€whom€a€guardian€is€to€be€appointed,€serviceÐ ` ° Ðshall€be€on€the€attorney€instead€of€the€parent€or€person€for€whomÐ  \  Ða€guardian€is€to€be€appointed.ó ó€€Ð ¸  Ðà  à€ò ò(C)€If€a€person€for€whom€a€guardian€is€to€be€appointed€hasÐ d´  Ðbeen€adjudicated€to€be€a€child€in€need€of€assistance€in€a€priorÐ `  Ðjuvenile€proceeding€and€the€court€is€satisfied€by€affidavit€orÐ ¼  Ðtestimony€that€the€petitioner€has€made€reasonable€good€faithÐ h¸ Ðefforts€to€serve€the€show€cause€order€on€the€person's€parent€byÐ d Ðboth€certified€mail€and€private€process€at€the€addressesÐ À Ðspecified€in€Code,€Family€Law€Article,€ðð5„322€(b)€and€at€anyÐ l¼ Ðother€address€actually€known€to€the€petitioner€as€one€where€theÐ h Ðparent€may€be€found,€the€court€shall€order€notice€to€that€parentÐ Ä Ðby€publication€pursuant€to€section€(c)€of€this€Rule.ó ó€€Ð pÀ  Ðà  à€ò ò(D)€The€show€cause€order€need€not€be€served€on€a€person€whoÐ !l" Ðhas€executed€a€written€consent€pursuant€to€Rule€9„102.ó ó€€Ð È"$ Ѐ€ò ò(c)€€Method€of€Serviceó óÐ t$Ä& Ðà  à€€ò òExcept€as€otherwise€provided€in€this€Rule,€the€show€causeÐ  &p!( Ðorder€shall€be€served€in€the€manner€provided€by€Rule€2„121.€€IfÐ Ì'#* Ðthe€court€is€satisfied€by€affidavit€or€testimony€that€theÐ x)È$, Ðpetitioner€or€a€parent,€after€reasonable€efforts€made€in€goodÐ $+t&. Ðfaith,€has€been€unable€to€ascertain€the€identity€or€whereaboutsÐ Ð, (0 Ðof€a€parent€entitled€to€service€under€section€(b)€of€this€Rule,Ð |.Ì)2 Ðthe€court€may€order,€as€to€that€parent,€that€the€show€cause€orderÐ ° Ðbe€published€at€least€one€time€in€one€or€more€newspapers€ofÐ \¬ Ðgeneral€circulation€published€in€the€county€in€which€the€petitionÐ X Ðis€filed€and,€if€different,€in€the€county€of€that€parent's€lastÐ ´  Ðknown€address.€€When€a€show€cause€order€is€published,€unless€theÐ ` ° Ðcourt€orders€otherwise,€the€show€cause€order€shall€identify€theÐ  \  Ðindividual€who€is€the€subject€of€the€proceeding€only€as€ð" ða€childÐ ¸  Ðborn€toð" ð€followed€by€the€name€of€any€known€parent€of€the€childÐ d´  Ðand€shall€set€forth€the€month,€year,€county,€and€state€of€theÐ `  Ðchild's€birth,€to€the€extent€known.ó ó€€Ð ¼  ÐÓÓò òCross€reference:€€See€Code,€Family€Law€Article,€ðð5„322€(e),Ð h¸ Ðsetting€forth€the€efforts€necessary€to€support€a€finding€that€aÐ >Ž Ðreasonable,€good€faith€effort€has€been€made€by€a€local€departmentÐ d Ðof€social€services€to€locate€a€parent.ó ó€€Ð ê: ÐÌÓÓ€€òò(c)€€Service€of€Show€Cause€OrderóóÐ –æ Ѐ€€€òò(1)€€Method€of€ServiceóóÐ B’ Ѐ€€€€€€€€òòThe€show€cause€order€shall€be€served€on€those€personsÐ î> Ðand€in€the€manner€required€by€Code,€Family€Law€Article:óóÐ šê Ѐ€€€€€òò(A)€ðð5„316€in€a€Public€Agency€Guardianship;óóÐ F –! Ѐ€€€€€òò(B)€ðð5„334€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ ò!B# Ѐ€€€€€òò(C)€ðð5„3A„15€in€a€Private€Agency€Guardianship;€oróóÐ ž#î% Ѐ€€€€€òò(D)€ðð5„3B„15€in€an€Independent€Adoption.óóÐ J%š ' Ѐ€€€ò ò(d)ó ó€òò(2)óó€€Time€for€ServiceÐ ö&F") Ðà  à€€Unless€the€court€orders€otherwise,€a€show€cause€order€ò òthatÐ ¢(ò#+ Ðis€served€in€the€manner€provided€by€Rule€2„121ó ó€shall€be€servedÐ N*ž%- Ðwithin€90€days€after€the€date€it€is€issued.€€If€service€is€notÐ ú+J'/ Ðmade€within€that€period,€a€new€show€cause€order€shall€be€issuedÐ ¦-ö(1 Ðat€the€request€of€the€petitioner.€€Ð ° Ѐ€ò ò(e)ó ó€òò(3)óó€Notice€of€ObjectionÐ \¬ Ðà  à€€A€show€cause€order€ò òserved€pursuant€to€Rule€2„121ó ó€shall€beÐ X Ðò òaccompanied€byó ó€òòserved€withóó€two€copies€of€a€pre„captioned€noticeÐ ´  Ðof€objection€form€in€substantially€the€form€set€forth€in€sectionÐ ` ° Ðò ò(i)ó ó€òò(f)óó€of€this€Rule.€€òòIn€a€public€agency€guardianship€orÐ  \  Ðadoption,€a€copy€of€the€petition€shall€be€attached.óóÐ ¸  Ѐ€ò ò(f)€€Additional€Notice€in€a€Guardianshipó óÐ d´  Ðà  à€€ò òThe€petitioner€in€an€action€for€guardianship€of€a€childÐ `  Ðwho€has€been€adjudicated€a€child€in€need€of€assistance€in€a€priorÐ ¼  Ðjuvenile€proceeding€shall€also€send€a€copy€of€the€petition€andÐ h¸ Ðshow€cause€order€by€first€class€mail€to€each€attorney€whoÐ d Ðrepresented€a€parent€and€to€the€attorney€who€represented€theÐ À Ðchild€in€the€juvenile€proceeding.ó ó€€Ð l¼ Ѐ€ò ò(g)ó ó€òò(d)óó€Notice€of€Change€of€NameÐ h Ðà  à€€If€the€person€to€be€adopted€is€an€adult€and€the€petitionerÐ Ä Ðdesires€to€change€the€name€of€the€person€to€be€adopted€to€aÐ pÀ  Ðsurname€other€than€that€of€the€petitioner,€notice€of€a€proposedÐ !l" Ðchange€of€name€shall€also€be€given€in€the€manner€provided€in€RuleÐ È"$ Ð15„901.€€Ð t$Ä& Ѐ€ò ò(h)ó ó€òò(e)óó€Form€of€Show€Cause€OrderÐ  &p!( Ðà  à€€òòExcept€as€provided€in€section€(g)€of€this€Rule,óó€ò òTheó ó€òòtheóóÐ Ì'#* Ðshow€cause€order€shall€be€ò òinó ó€substantially€òòinóó€the€following€form:€Ð x)È$, ÐÓÓÌà@””%ìàò òIMPORTANTó ó€ˆÐ ú+J'/ ÐÌTHIS€IS€A€COURT€ORDER.€IF€YOU€DO€NOT€UNDERSTAND€WHAT€THE€ORDERÐ ´-)1 ÐSAYS,€HAVE€SOMEONE€EXPLAIN€IT€TO€YOU.€€YOUR€RIGHT€TO€AN€ATTORNEYÐ Š.Ú)2 ÐIS€EXPLAINED€IN€PARAGRAPH€3€OF€THIS€ORDER.€ò òIF€YOU€DO€NOT€MAKEÐ ° ÐSURE€THAT€THE€COURT€RECEIVES€YOUR€NOTICE€OF€OBJECTION€ON€OR€Ð ”ä ÐBEFORE€THE€DEADLINE€STATED€IN€PARAGRAPH€2€OF€THIS€ORDER,€YOU€HAVEÐ xÈ ÐAGREED€TO€A€TERMINATION€OF€YOUR€PARENTAL€RIGHTS.€€ó óÐ \¬ ÐÌÌÌò òIN€THE€MATTER€OF€A€PETITION€€€€€€€€€€€€€€€€IN€THEó ó€Ð   ÐÌÌò òFOR€____________________________€€€€€€€€€€€CIRCUIT€COURTó ó€Ð D ”  Ѐ€€€ò ò(Adoption/Guardianship)€€€€€€€€€€€€€€€€FORó ó€€€€€€€€€€€€€€€€€€Ð j  ÐÌÌò òOF€______________________________€€€€€€€€€€______________________ó óÐ œì  Ѐ€€€€ò ò(Name€of€Individual€who€is€€€€€€€€€€€€€€€€€€(County)ó ó€Ð r  Ѐ€€€€ò òthe€Subject€of€the€Proceeding)ó ó€Ð H˜  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò__________________________ó óÐ ôD Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Docket€Reference)ó ó€Ð Ê ÐÌòòò òÌ(Note€to€Drafter€of€Show€Cause€Order:€€For€the€form€of€theÐ Zª Ðcaption€of€the€Show€Cause€Order,€see€Rule€9„103€(a).)ó óóóÐ >Ž ÐÌÌà@ðð"ìàò òSHOW€CAUSE€ORDERó ó€ˆÐ Î ÐÌTO:€Ð ˆØ ÐÌ________________________________________________________________Ð 4„ Ѐ€€€€€€€€€€€€€€€€€(Name€of€Person€to€be€Served)€Ð  Z ÐÌ________________________________________________________________Ð ¶ ! ÐÌ________________________________________________________________Ð b"²# Ѐ€€€€€€€€€€€€€€€€€€€(Address,€including€County)€Ð 8#ˆ$ ÐÌ________________________________________________________________Ð ä$4 & Ð(Relationship€of€person€served€to€individual€who€is€the€subjectÐ º% !' Ѐ€€of€the€proceeding)€Ð &à!( ÐÌÌYou€are€hereby€notified€that:€Ð )b$+ Ѐ̀€€1.€Filing€of€Petition.Ð ¾*&- Ѐ̀€€A€petition€has€been€filed€for€_______________________________Ð j,º'/ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Adoption/Guardianship)€Ð @-(0 ÐÐ .f)1 Ðof€__________________________________________________________€who€Ð ° Ѐ€€(Name€of€individual€who€is€the€subject€of€the€proceeding)€Ð †Ö ÐÌwas€born€at€__________________€on€______________________________.€Ð 2‚ Ѐ€€€€€€€€€€€€€(Birthplace)€€€€€€€€€€€€€€€€(Date€of€Birth)€Ð X ÐÌ(If€the€petition€is€for€guardianship,€include€the€followingÐ ´  ÐÌsentence:€€The€petition€was€filed€by€________________________€Ð ` ° ÐÌ_____________________________________________________________€).€Ð  \  Ѐ€€(Name€of€child€placement€agency€seeking€guardianship)€Ð â 2  ÐÌÌ€€€2.€Right€to€Object;€Time€for€ObjectingÐ d´  ÐÌ€€€ò ò(A.€This€portion€should€be€included€when€the€show€cause€orderÐ `  ÐÌis€to€be€served€pursuant€to€Rule€2„121.)ó ó€Ð ¼  Ѐ̀€€If€you€wish€to€object€to€the€_______________________________,Ð h¸ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Adoption/Guardianship)€Ð >Ž ÐÌyou€must€file€a€notice€of€objection€with€the€clerk€of€the€court€Ð ê: ÐÌat€_____________________________________________________________Ð –æ Ѐ€€€€€€€€€€€€€€€€€€€€(Address€of€Courthouse)€Ð l¼ ÐÌwithin€__________€days€after€this€Order€is€served€on€you.€€ForÐ h ÐÌyour€convenience,€a€form€notice€of€objection€is€attached€to€thisÐ Ä ÐÌOrder.€Ð pÀ  Ѐ̀€€ò ò(B.€This€portion€should€be€included€when€the€show€cause€orderÐ !l" ÐÌis€to€be€published€or€posted.)ó ó€Ð È"$ Ѐ̀€€ò òIf€you€wish€to€object€to€the€________________________________ó óÐ t$Ä& Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(adoption/guardianship)ó ó€Ð J%š ' ÐÌò òyou€must€file€a€notice€of€objection€with€the€clerk€of€the€courtó óÐ ö&F") ÐÌò òon€or€before€____________€at€___________________________________.Ð ¢(ò#+ Ðó ó€€€€€€€€€€€€€€€ò ò(date)ó ó€€€€€€€€€€€€€€€ò ò(address€of€courthouse)ó óÐ x)È$, ЀÌÌ€€€ò òWHETHER€THE€PETITION€REQUESTS€ADOPTION€OR€GUARDIANSHIP,€IF€YOU€Ð ú+J'/ ÐÌDO€NOT€MAKE€SURE€THAT€THE€COURT€RECEIVES€YOUR€NOTICE€OF€OBJECTIONÐ Â-)1 ЇON€OR€BEFORE€THE€DEADLINE€STATED€ABOVE,€YOU€HAVE€AGREED€TO€ò òAó ó€òòTHEóóÐ ° ÐÌTERMINATION€OF€YOUR€PARENTAL€RIGHTS.ó ó€€Ð xÈ ÐÌ€€€3.€Right€to€an€AttorneyÐ 2‚ ÐÌ€€€€(a)€You€have€the€right€to€ò òconsultó ó€òòspeak€withóó€an€attorney€andÐ Þ . ÐÌobtain€independent€legal€advice.€Ð Š Ú Ѐ̀€€€(b)€An€attorney€may€already€have€been€appointed€for€you€ò òbasedÐ 6 †  ÐÌon€statements€in€the€petitionó ó.€If€òòyou€have€been€notified€thatóó€anÐ â2  ÐÌattorney€has€been€appointed€ò òand€has€already€contactedó ó€òòforóó€you,Ð ŽÞ  ÐÌyou€should€ò òconsultó ó€òòspeak€immediatelyóó€with€that€attorney.€Ð :Š  Ѐ̀€€€(c)€If€an€attorney€has€not€already€contacted€you,€you€may€beÐ æ6 ÐÌentitled€to€have€the€court€appoint€an€attorney€for€you€if:€Ð ’â ÐÌ€€€€€ò ò(1)€you€are€the€person€to€be€adopted€and:ó ó€Ð >Ž Ѐ̀€€€€€€€€ò ò(A)€you€are€at€least€ten€years€old€but€are€not€yet€18;Ð ê: Ðoró ó€Ð À Ѐ̀€€€€€€€€ò ò(B)€you€are€at€least€ten€years€old€and€have€aÐ l¼ ÐÌdisability€that€makes€you€incapable€of€consenting€to€the€adoptionÐ h ÐÌor€of€participating€effectively€in€the€proceeding.ó ó€Ð Ä Ѐ̀€€€€ò ò(2)€you€are€the€person€to€be€adopted€or€the€person€for€whomÐ p À! ÐÌa€guardian€is€sought€and€the€proceeding€involves€the€involuntaryÐ "l# ÐÌtermination€of€the€parental€rights€of€your€parents.ó ó€Ð È#% Ѐ̀€€€€ò ò(3)€you€are€a€parent€of€the€person€to€be€adopted€or€forÐ t%Ä ' ÐÌwhom€a€guardian€is€sought€and:ó óÐ  'p") Ѐ̀€€€€€€€€ò ò(A)€you€are€under€18€years€of€age;€oró ó€Ð Ì($+ Ѐ̀€€€€€€€€ò ò(B)€because€of€a€disability,€you€are€incapable€ofÐ x*È%- ÐÌconsenting€to€the€adoption€or€guardianship€or€of€participatingÐ $,t'/ ÐÌeffectively€in€the€proceeding;€oró ó€Ð Ð- )1 ЀÐ ¦.ö)2 ÐÑ_/V1Ñâ _âÑXXÑâ _âÑ  Ñ€€€€€€€€€ò ò(C)€you€object€to€the€adoption€and€cannot€afford€to€hireÐ ° ÐÌan€attorney€because€you€are€indigent.ó óÐ \¬ ÐòòÌÌò ò(Note€to€Drafter€of€Show€Cause€Order:€Include€only€those€of€theÐ Þ. Ðfollowing€paragraphs€that€are€applicable€to€the€type€ofÐ   Ðguardianship€or€adoption€proceeding€that€has€been€filed.)ó óÐ ¦ ö ÐóóÌò òòòÓÓ[In€a€Public€Agency€Guardianship:]óóó óÐ ` °  Ðà  àòòYou€are€a€parent€of€the€person€for€whom€a€guardian€is€soughtÐ (x  Ðand:óóÐ Ô$  Ðà  à€€òò(A)€you€are€under€18€years€of€age;€oróóÐ €Ð  Ðà  à€€òò(B)€you€have€a€disability€that€makes€you€unable€toÐ ,| Ðparticipate€effectively€in€the€case;€oróóÐ Ø( Ðà  à€€òò(C)€you€object€to€the€guardianship€and€cannot€afford€toÐ „Ô Ðhire€an€attorney€because€you€are€indigent.óóÐ 0€ Ðòòò ò[In€a€Public€Agency€Adoption€without€Prior€TPR:]ó óóóÐ Ü, Ðà  àòò(1)€You€are€the€person€to€be€adopted;óóÐ ¤ô Ðà  à€€òòORóóÐ P  Ðà  àòò(2)€You€are€a€parent€of€the€person€to€be€adopted€and:óóÐ üL Ðà  à€€€€òò(A)€you€are€under€18€years€of€age;€oróóÐ ¨ ø! Ðà  à€€€€òò(B)€you€have€a€disability€that€makes€you€unable€toÐ T"¤# Ðparticipate€effectively€in€the€adoption€case;€oróóÐ $P% Ðà  à€€€€òò(C)€you€object€to€the€adoption€and€cannot€afford€to€hireÐ ¬%ü ' Ðan€attorney€because€you€are€indigent.óóÐ X'¨") Ðòòò ò[In€a€Public€Agency€Adoption€after€TPR:]ó óóóÐ )T$+ Ðà  àòòYou€are€the€person€to€be€adopted.óóÐ Ì*&- Ðòòò ò[In€a€Private€Agency€Guardianship:]óóó óÐ x,È'/ Ðà  àòòYou€are€a€parent€of€the€person€for€whom€a€guardian€is€soughtÐ @.)1 Ðand:óóÐ ° Ðà  à€€€€òò(A)€you€are€under€18€years€of€age;€oróóÐ \¬ Ðà  à€€€€òò(B)€you€have€a€disability€that€makes€you€unable€toÐ X Ðparticipate€effectively€in€the€case.óóÐ ´  Ðò òòò[In€a€Private€Agency€Adoption:]ó óóóÐ ` ° Ðà  àòòYou€are€the€person€to€be€adopted€and:óóÐ ( x  Ðà  à€€€€òò(A)€you€are€at€least€10€years€old€but€are€not€yet€18;€oróóÐ Ô$  Ðà  à€€€€òò(B)€you€have€a€disability€that€makes€you€unable€toÐ €Ð  Ðparticipate€effectively€in€the€adoption€case.óóÐ ,|  Ðòòò ò[In€an€Independent€Adoption:]ó óóóÐ Ø( Ðà  àòò(1)€You€are€the€person€to€be€adopted€and:óóÐ  ð Ðà  à€€€€òò(A)€you€are€at€least€10€years€old;€andóóÐ Lœ Ðà  à€€€€òò(B)€you€have€a€disability€that€makes€you€unable€toÐ øH Ðparticipate€effectively€in€the€adoption€case;óóÐ ¤ô Ðà  àòòORóóÐ P  Ðà  àòò(2)€You€are€a€parent€of€the€person€to€be€adopted€and:óóÐ üL Ðà  à€€€€òò(A)€you€are€under€18€years€of€age;€oróóÐ ¨ø  Ðà  à€€€€òò(B)€you€have€a€disability€that€makes€you€unable€toÐ T!¤" Ðparticipate€effectively€in€the€adoption€case.óóÐ #P$ ÐÓÓ̀̀€€€€€IF€YOU€BELIEVE€YOU€ARE€ENTITLED€TO€HAVE€THE€COURT€APPOINT€Ð X&¨!( ÐÌAN€ATTORNEY€FOR€YOU€AND€YOU€WANT€AN€ATTORNEY,€YOU€MUST€NOTIFY€THE€Ð (T#* ÐÌCOURT€BEFORE€THE€TIME€YOUR€NOTICE€OF€OBJECTION€MUST€BE€FILED.€Ð °)%, ÐÌòòHOWEVER,€EVEN€IF€YOU€HAVE€OR€WANT€TO€HAVE€AN€ATTORNEY,€YOU€MUSTÐ \+¬&. ÐÌSTILL€FILE€THE€NOTICE€OF€OBJECTION€ON€OR€BEFORE€THE€DEADLINEÐ -X(0 ÐÐ Þ-.)1 ÐSTATED€IN€PARAGRAPH€2€OF€THIS€ORDER.óó€€ò òIF€YOU€DO€NOT€MAKE€SUREÐ ° ÐÌTHAT€THE€COURT€RECEIVES€YOUR€NOTICE€OF€OBJECTION€ON€OR€BEFORE€THEÐ xÈ ÐÌDEADLINE€STATED,€YOU€HAVE€AGREED€TO€ò òAó ó€òòTHEóó€TERMINATION€OF€YOURÐ @ ÐÌPARENTAL€RIGHTS.€€ó óÐ  X ÐÌ€€€€€€For€your€convenience,€a€request€for€appointment€of€anÐ   ÐÌattorney€is€printed€on€the€notice€of€objection€form€attached€toÐ n ¾  ÐÌthis€Order.€ò ò(Omit€the€last€sentence€from€a€published€or€postedÐ j  ÐÌshow€cause€order.)ó ó€Ð Æ  Ѐ̀€€€(d)€ò òIf€you€are€a€parent€of€the€person€to€be€adopted,€youó ó€òòYouóóÐ r  ÐÌare€entitled€to€consult€an€attorney€chosen€by€you,€even€if€youÐ n ÐÌare€not€entitled€to€an€attorney€appointed€by€the€court.€€If€youÐ Ê ÐÌemploy€an€attorney,€you€may€be€responsible€for€any€fees€and€costsÐ vÆ ÐÌcharged€by€that€attorney€unless€ò òthis€is€an€adoption€proceedingÐ "r ÐÌand€the€adoptive€parents€agree€to€pay,€oró ó€the€court€orders€ò òthemó óÐ Î ÐÌòòanother€partyóó€to€pay€all€or€part€of€those€fees€or€expenses.€Ð zÊ Ѐ̀€€€(e)€If€you€wish€further€information€concerning€appointment€ofÐ &v ÐÌan€attorney€by€the€court€or€concerning€adoption€counseling€andÐ Ò"  ÐÌguidance,€you€may€contactÐ ~!Î" ÐÌà  àà ` àà ¸ à____________________________________Ð *#z$ Ѐ€€€€€€€€€€€€€€€€€€€€(Name€of€Court€Official)€Ð $P% ЀÌÌ€€€€€€€€€€€€€€€____________________________________Ð ‚&Ò!( Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Address)€Ð X'¨") Ѐ̀€€€€€€€€€€€€€€____________________________________Ð )T$+ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€(Telephone€Number)€Ð Ú)*%, ÐÌÌ€€€4.€Option€to€Receive€Adoption€CounselingÐ \,¬'/ ÐÌà  à€If€this€is€an€adoption€proceeding,€you€also€may€have€theÐ .X)1 Їoption€to€receive€adoption€counseling€and€guidance.€€You€may€haveÐ ° ÐÌto€pay€for€that€service€unless€ò òthe€adoptive€parents€agreeó ó€òòanotherÐ \¬ ÐÌparty€agreesóó€to€pay€or€the€court€orders€ò òthemó ó€òòanother€partyóó€to€payÐ X ÐÌall€or€part€of€those€charges.€Ð ´  ÐÌÌDate€of€issue:€________________________________________________€Ð 6 †  Ѐ̀€€€€€€€€€€€€€€________________________________________________€Ð â 2  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Judge)€€Ð ¸  ÐÌÌÌ€€ò ò(i)ó ó€òò(f)óó€Form€of€Notice€of€ObjectionÐ `  ÐÌà  à€€The€notice€of€objection€shall€be€ò òinó ó€substantially€òòinóó€theÐ ¼  ÐÌfollowing€form:€Ð h¸ ÐÌÌ€€€€€€€€€€€€Ð ê: Ðò òIN€THE€MATTER€OF€A€PETITION€€€€€€€€€€IN€THEó ó€Ð À ÐÌò òFOR€______________________________€€€CIRCUIT€COURT€FORó ó€Ð l¼ Ѐ€€€€€€ò ò(Adoption/Guardianship)ó ó€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð B’ Ѐ€€€€€€€€€€€€€Ð h Ðò òOF€____________________________€€€€€____________________________ó óÐ î> Ѐ€€ò ò(Name€of€individual€who€is€€€€€€€€€€€€€€€€(County)ó ó€€€€€€€€€€€€€Ð Ä Ѐ€€ò òthe€subject€of€the€proceeding)ó ó€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð šê Ѐ€€€€€€€€€Ð pÀ  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò____________________________ó óÐ F –! Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€ò ò(Docket€Reference)ó ó€€Ð !l" ÐÌò òòòÌ(Note€to€Drafter€of€the€Notice€of€Objection/Request€forÐ ¬#ü% ÐAppointment€of€Attorney:€€For€the€caption€of€the€form,€see€RuleÐ $à& Ð9„103€(a).)óóó óÐ t%Ä ' ÐÌÌ€€€€€€€à@ÌÌìàNOTICE€OF€OBJECTIONòò/REQUEST€FOR€APPOINTMENT€OF€ATTORNEYóó€ˆÐ (T#* ÐÌ€€€€(Instructions€to€the€person€served€with€the€show€cause€order:€Ð °)%, ÐÌò òÌà  àIF€YOU€WISH€TO€OBJECT,€YOU€MUST€MAKE€SURE€THAT€THE€COURTÐ @,'/ ÐÌRECEIVES€YOUR€NOTICE€OF€OBJECTION€ON€OR€BEFORE€THE€DEADLINEÐ .X)1 ЇSTATED€IN€THE€SHOW€CAUSE€ORDER.ó ó€€You€may€use€this€form€to€do€so.€Ð ° ÐÌYou€need€only€sign€this€form,€print€or€type€your€name,€address,Ð jº ÐÌand€telephone€number€underneath€your€signature,€and€mail€orÐ f ÐÌdeliver€it€to€the€court€at€the€address€shown€in€paragraph€2€ofÐ   ÐÌthe€show€cause€order.€€ò òIF€THE€COURT€HAS€NOT€RECEIVED€YOUR€NOTICEÐ n ¾ ÐÌOF€OBJECTION€ON€OR€BEFORE€THE€DEADLINE€STATED€IN€PARAGRAPH€2€OFÐ 6 †  ÐÌTHE€SHOW€CAUSE€ORDER,€YOU€HAVE€AGREED€TO€ò òAó ó€òòTHEóó€TERMINATION€OFÐ þN  ÐÌYOUR€PARENTAL€RIGHTS.ó ó€€If€you€wish€to€state€your€reasons,€you€mayÐ Æ  ÐÌstate€them€on€this€sheet.)€Ð €Ð  ÐÌ€€€€òò1.óó€€I€object€to€the€_________________________________€of€theÐ ,| Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€(Adoption/Guardianship)€Ð R ÐÌabove„named€individual.€€My€reasons€for€objecting€are€as€follows:€Ð ®þ ÐÌÌ________________________________________________________________Ð 0€ ÐÌ________________________________________________________________Ð Ü, ÐÌ________________________________________________________________Ð ˆØ ÐÌ________________________________________________________________Ð 4„ ÐÌÌ€€€€òò2.óó€€I€do/do€not€want€the€Court€to€appoint€an€attorney€to€Ð ¶ ! Ѐ€ò ò€€€€€(Circle€one)ó ó€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð Œ!Ü" Ðrepresent€me.€€If€I€circled€that€I€do€want€the€court€to€appointÐ p"À# ÐÌan€attorney€for€me,€I€believe€that€I€am€entitled€to€a€court„Ð $l% ÐÌappointed€attorney€because:€Ð È%!' ÐÌò ò(Check€appropriate€box€or€boxes)ó ó€Ð t'Ä") Ðà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àÌ€€€€ò ò[€€]€I€am€the€person€to€be€adopted€and:ó ó€Ð .)~$+ ÐÌ€€€€€€€€€ò ò[€€]€I€am€at€least€ten€years€old€but€am€not€yet€18;€oró ó€Ð Ú**&- ÐÌ€€€€€€€€€ò ò[€€]€I€am€at€least€ten€years€old€and€I€have€aÐ †,Ö'/ ÐÌdisability€that€makes€me€incapable€of€consenting€to€the€adoptionÐ 2.‚)1 Їor€of€participating€effectively€in€the€proceeding;€oró ó€Ð ° ÐÌ€€€€€€€€€ò ò[€€]€the€proceeding€involves€the€involuntary€termination€Ð \¬ ÐÌof€the€parental€rights€of€my€parentsó ó.€Ð X ÐÌ€€€€ò ò[€€]€I€am€a€parent€of€the€person€to€be€adopted€or€for€whom€aÐ ´  ÐÌguardian€is€sought€and:ó ó€Ð ` ° ÐÌ€€€€€€€€€ò ò[€€]€I€am€under€18€years€of€age;€oró ó€Ð  \  ÐÌ€€€€€€€€€ò ò[€€]òòò òóóó ó€because€of€a€disability,€I€am€incapable€ofÐ ¸  ÐÌconsenting€to€the€adoption€or€guardianship€or€of€participatingÐ d´  ÐÌeffectively€in€the€proceeding;€oró ó€Ð `  ÐÌ€€€€€€€€€ò ò[€€]€I€object€to€the€adoption€or€guardianship€and€cannotÐ ¼  ÐÌafford€to€hire€an€attorney€because€I€am€indigent.ó ó€Ð h¸ ÐÌÌò òòò(Note€to€Drafter€of€the€Notice€of€Objection/Request€forÐ ê: ÐAppointment€of€Attorney:€€Include€only€those€of€the€followingÐ Î Ðparagraphs€which€are€applicable€to€the€type€of€guardianship€orÐ ² Ðadoption€proceeding€that€has€been€filed.)óóó óÐ –æ ÐÌÌÓÓò òòò[In€a€Public€Agency€Guardianship:]óóó óÐ &v Ðà  àòò[€]€I€am€the€parent€of€the€person€for€whom€a€guardian€isÐ î> Ðsought€and:óóÐ š ê! Ðà  àà ` àòò[€]€I€am€under€18€years€of€age.óóÐ F"–# Ðà  àà ` àòò[€]€I€have€a€disability€that€makes€me€unable€toÐ ò#B% Ðparticipate€effectively€in€the€case.óóÐ ž%î ' Ðà  àà ` àòò[€]€I€object€to€the€guardianship€and€cannot€afford€toÐ J'š") Ðhire€an€attorney€because€I€am€indigent.óóÐ ö(F$+ Ðò òòò[In€a€Public€Agency€Adoption€without€Prior€TPR:]óóó óÐ ¢*ò%- Ðà  àòò[€]€I€am€the€person€to€be€adopted.óóÐ j,º'/ Ðà  àòòORóóÐ .f)1 Ðà  àòò[€]€I€am€the€parent€of€the€person€to€be€adopted€and:óóÐ ° Ðà  àà ` àòò[€]€I€am€under€18€years€of€age.óóÐ \¬ Ðà  àà ` àòò[€]€I€have€a€disability€that€makes€me€unable€toÐ X Ðparticipate€effectively€in€the€adoption€case.óóÐ ´  Ðà  àà ` àòò[€]€I€object€to€the€adoption€and€cannot€afford€to€hireÐ ` ° Ðan€attorney€because€I€am€indigent.óóÐ  \  Ðò òòò[In€a€Public€Agency€Adoption€after€TPR:]ó óóóÐ ¸  Ðà  àòò[€]€I€am€the€person€to€be€adopted.óóÐ €Ð  Ðò òòò[In€a€Private€Agency€Guardianship:]óóó óÐ ,|  Ðà  àòò[€]€I€am€a€parent€of€the€person€for€whom€a€guardian€isÐ ôD Ðsought€and:óóÐ  ð Ðà  àà ` àòò[€]€I€am€under€18€years€of€age.óóÐ Lœ Ðà  àà ` àòò[€]€I€have€a€disability€that€makes€me€unable€toÐ øH Ðparticipate€effectively€in€the€case.óóÐ ¤ô Ðòòò ò[In€a€Private€Agency€Adoption:]óóó óÐ P  Ðà  àòò[€]€I€am€the€person€to€be€adopted€and:óóÐ h Ðà  àà ` àòò[€]€I€am€at€least€10€years€old€but€am€not€yet€18.óóÐ Ä  Ðà  àà ` àòò[€]€I€have€a€disability€that€makes€me€unable€toÐ p!À" Ðparticipate€effectively€in€the€adoption€case.óóÐ #l$ Ðò òòò[In€an€Independent€Adoption:]ó óóóÐ È$ & Ðà  àòò[€]€I€am€the€person€to€be€adopted€and:óóÐ &à!( Ðà  àà ` àòò[€]€I€am€at€least€10€years€old€and€I€have€a€disabilityÐ <(Œ#* Ðthat€makes€me€unable€to€participate€effectively€in€the€adoptionÐ è)8%, Ðcase.óóÐ ”+ä&. Ðà  àòòORóóÐ @-(0 Ðà  àòò[€]€I€am€the€parent€of€the€person€to€be€adopted€and:óóÐ ° Ðà  àà ` àòò[€]€I€am€under€18€years€of€age.óóÐ \¬ Ðà  àà ` àòò[€]€I€have€a€disability€that€makes€me€unable€toÐ X Ðparticipate€effectively€in€the€adoption€case.óóÐ ´  ÐÓÓÌÌ€€€€€€€€€€€€€€€€€€€€€Ð  \  Ðà  àà ` àà ¸ àà  àà h à_______________________________________Ð â 2  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€(Signature)€Ð ¸  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€_______________________________________Ð d´  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€(Name,€printed€or€typed)€Ð :Š  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€_______________________________________Ð æ6 Ѐ€€€€€€€€€€€€€€€€€€€€€€€€(Address)€Ð ¼  ÐÌ€€€€€€€€€€€€€€€€€€€€€€€€€_______________________________________Ð h¸ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€(Telephone€Number)€Ð >Ž ÐÌÌ€€òò(g)€€Form€of€Notice€for€Service€by€Publication€and€PostingóóÐ À ÐÌà  à€€òòThe€notice€for€service€by€publication€and€posting€shallÐ l¼ ÐÌbe€in€the€form€required€by€Code,€Family€Law€Article:óóÐ h ÐÌ€€€€òò(1)€ðð5„316€in€a€Public€Agency€Guardianship;óóÐ Ä ÐÌ€€€€òò(2)€ðð5„334€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ pÀ  ÐÌ€€€€òò(3)€ðð5„3A„15€in€a€Private€Agency€Guardianship;€oróóÐ !l" ÐÌ€€€€òò(4)€ðð5„3B„15€in€an€Independent€Adoption.óóÐ È"$ ÐÌò òCommittee€note:€€See€Rule€9„103€(a).€€The€caption€of€the€petitionÐ t$Ä& Ðdesignated€in€the€show€cause€order€is€different€from€the€captionÐ J%š ' Ðof€the€case€record€referred€to€in€Rule€9„103,€which€is€kept€byÐ  &p!( Ðthe€clerk.€€The€caption€in€the€show€cause€order€preserves€theÐ ö&F") Ðanonymity€of€the€prospective€adoptive€parents.€€The€caption€inÐ Ì'#* Ðthe€case€record€preserves€the€anonymity€of€the€adoptee.ó óÐ ¢(ò#+ ÐÌSource:€€This€Rule€is€in€part€derived€from€former€Rule€D74€and€isÐ N*ž%- Ðin€part€new.Ð $+t&. ÐÌÌÐ  ¦-ö(1 ÐÑ€#/VÑà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„106€by€deleting€the€text€of€existing€sectionÐ 6 †  ÐÌ(a)€and€replacing€it€with€references€to€certain€Code€provisionsÐ â 2  ÐÌpertaining€to€appointment€of€an€attorney;€by€adding€a€new€sectionÐ ŽÞ  ÐÌ(b)€and€cross€reference€after€section€(b)€pertaining€to€paymentÐ :Š  ÐÌof€attorneysðð€fees;€by€adding€a€new€section€(c)€pertaining€to€anÐ æ6 ÐÌaffidavit€of€attorney;€by€deleting€the€text€of€existing€sectionÐ ’â ÐÌ(b),€relettering€the€section€(d),€and€replacing€the€text€of€theÐ >Ž ÐÌsection€with€references€to€certain€Code€provisions€and€newÐ ê: ÐÌlanguage€pertaining€to€investigations;€by€deleting€existingÐ –æ ÐÌsection€(c);€and€by€relettering€the€Rule,€as€follows:Ð B’ ÐÌÌRule€9„106.€€APPOINTMENT€OF€ATTORNEY€„€òòATTORNEY€AFFIDAVIT€„óóÐ Ä ÐÌòòóóINVESTIGATION€Ð pÀ  ÐÌÌÓÓ€€(a)€€Appointment€of€AttorneyÐ ò!B# Ðà  à€€ò òThe€court€shall€appoint€an€attorney€for€any€personÐ ž#î% Ðentitled€to€the€appointment€pursuant€to€Code,€Family€Law€Article,Ð J%š ' Ððð5„323.€€The€court€may€appoint€an€attorney€for€a€minor€who€is€notÐ ö&F") Ðotherwise€entitled€by€statute€to€a€court„appointed€attorney.€€IfÐ ¢(ò#+ Ðthe€petition€shows€that€a€person€is€entitled€to€a€court„appointedÐ N*ž%- Ðattorney,€the€court€shall€appoint€an€attorney€for€that€personÐ ú+J'/ Ðpromptly€after€the€filing€of€the€petition.ó ó€€Ð ¦-ö(1 Ðà  à€€òòThe€court€shall€appoint€an€attorney€for€a€party€whenÐ ° Ðrequired€by€Code,€Family€Law€Article:óóÐ \¬ Ѐ€€€òò(1)€ðð5„307€in€a€Public€Agency€Guardianship;óóÐ X Ѐ€€€òò(2)€ðð5„307€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ ´  Ѐ€€€òò(3)€ðð5„307€in€a€Public€Agency€Adoption€after€TPR;óóÐ ` ° Ѐ€€€òò(4)€ðð5„3A„07€in€a€Private€Agency€Guardianship;óóÐ  \  Ѐ€€€òò(5)€ðð5„3A„07€in€a€Private€Agency€Adoption;€oróóÐ ¸  Ѐ€€€òò(6)€ðð5„3B„06€in€an€Independent€Adoption.óóÐ d´  Ѐ€òò(b)€€Payment€of€Attorneyððs€Feesóó€Ð `  Ðà  à€€òòEven€if€the€prospective€adoptee€is€not€entitled€to€aÐ ¼  Ðcourt„appointed€attorney,€the€person€is€entitled€to€consult€anÐ h¸ Ðattorney€chosen€by€that€person.€€The€adoptive€parents€or€agencyÐ d Ðmay€agree€to€pay€all€or€part€of€the€attorneyððs€fees€on€behalf€ofÐ À Ðthe€person,€or€the€court€may€order€the€adoptive€parents€or€agencyÐ l¼ Ðto€do€so.óóÐ h ÐòòÓÓCross€reference:€See€Code,€Family€Law€Article,€ðððð5„309€as€to€aÐ Ä ÐPublic€Agency€Guardianship;€5„309€as€to€a€Public€Agency€AdoptionÐ šê Ðwithout€Prior€TPR;€5„3A„09€as€to€a€Private€Agency€Guardianship;Ð pÀ  Ðand€5„3B„08€as€to€an€Independent€Adoption.óó€€ò òSee€òòIn€Re€AdoptionÐ F –! ÐNo.€A91„71Aóó,€334€Md.€538€(1994).ó óÐ "!r" ÐÌÓÓ€€òò(c)€€Affidavit€of€AttorneyóóÐ Ô"$$ Ѐ€€€òò(1)€With€a€Parental€ConsentóóÐ €$Ð& Ðà  à€€€òòThe€attorney€shall€file€an€affidavit€in€the€applicableÐ ,&|!( Ðform€set€forth€at€the€end€of€this€Title€with€a€consent€signed€byÐ Ø'(#* Ða€parent€when€required€by€Code,€Family€Law€Article:óóÐ „)Ô$, Ѐ€€€€€òò(A)€ðð5„321€in€a€Public€Agency€Guardianship;óóÐ 0+€&. Ðà  à€òò(B)€ðð5„339€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ Ü,,(0 Ðà  à€òò(C)€ðð5„3A„19€in€a€Private€Agency€Guardianship;€oróóÐ ˆ.Ø)2 ÐÑ#/V;Ñâ #âÑXXÑâ #âÑ  Ñà  à€òò(D)€ðð5„3B„21€in€an€Independent€Adoption.óó€€€€€€€€Ð ° Ðòòóó€€€€òò(2)€€With€a€Consent€of€a€Prospective€AdopteeóóÐ \¬ Ðà  à€€€€òòThe€attorney€shall€file€an€affidavit€in€the€applicableÐ X Ðform€set€forth€at€the€end€of€this€Title€with€a€consent€signed€byÐ ´  Ða€prospective€adoptee€if€the€adoptee€is€represented€andóóÐ ` ° Ðà  à€òò(A)€is€a€minor;€oróóÐ  \  Ðà  à€òò(B)€has€a€disability€that€makes€the€prospective€adopteeÐ ¸  Ðincapable€of€effectively€participating€in€a€case.óóÐ d´  ÐòòCross€reference:€See€Rule€9„102€(b)(3).óóÐ `  Ѐ€ò ò(b)ó ó€òò(d)óó€Investigation€by€CourtÐ ¼  Ðà  à€€ò òIf€the€proceeding€is€contested,€the€court€shall€order€anÐ h¸ Ðinvestigation€of€the€facts€of€the€case€and€if€the€proceeding€isÐ d Ðuncontested,€the€court€may€order€an€investigation.€€The€court€mayÐ À Ðdesignate€any€person€or€agency€to€conduct€the€investigation.€Ð l¼ ÐThat€person€or€agency€shall€report€the€findings€of€theÐ h Ðinvestigation€to€the€court€in€writing€and,€also,€if€requested€byÐ Ä Ðthe€court,€the€recommendation€of€the€person€or€agency.ó ó€Ð pÀ  Ѐ€€€òò(1)€€OptionalóóÐ !l" Ðà  à€€€€òòThe€court€may€order€an€investigation€as€provided€byÐ È"$ ÐCode,€Family€Law€Article:óóÐ t$Ä& Ðà  à€òò(A)€ðð5„317€in€a€Public€Agency€Guardianship;óóÐ  &p!( Ðà  à€òò(B)€ðð5„3A„16€in€a€Private€Agency€Guardianship;€oróóÐ Ì'#* Ðà  à€òò(C)€ðð5„3B„16€in€an€Independent€Adoption.óóÐ x)È$, Ѐ€€€òò(2)€€Mandatoryóó€Ð $+t&. Ðà  à€€€€òòThe€court€shall€order€an€investigation€in€aÐ Ð, (0 Ðnonconsensual€Independent€Adoption€as€provided€in€Code,€FamilyÐ |.Ì)2 ÐLaw€Article,€ðð5„3B„16.óóÐ ° Ѐ€€€òò(3)€€Recommendation€of€InvestigatoróóÐ \¬ Ðà  à€€€€òòIf€requested€by€the€court,€the€report€of€anyÐ X Ðinvestigation€may€include€the€recommendation€of€the€investigator.óóÐ ´  Ѐ€€€òò(4)€€In€WritingóóÐ ` ° Ðà  à€€€€òòThe€report€of€any€investigation€shall€be€submitted€toÐ  \  Ðthe€court€in€writing€and€filed€among€the€records€of€theÐ ¸  Ðproceeding.óóÐ d´  Ѐ€ò ò(c)€Reportsó óÐ `  Ðà  à€€ò òThe€reports€of€any€investigation€shall€be€filed€among€theÐ ¼  Ðrecords€of€the€proceeding.ó ó€€Ð h¸ ÐÓÓSource:€€This€Rule€is€ò òderived€from€former€Rule€D75ó ó€òònewóó.€€Ð d ÐÌÌÌÐ  l¼ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° Ðà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„107€by€deleting€language€from€subsection€(b)(4)Ð 6 †  ÐÌand€replacing€it€with€new€language€that€conforms€to€statutoryÐ â 2  ÐÌchanges,€by€changing€the€words€ð ðthe€petitionerðð€to€the€words€ð ðallÐ ŽÞ  ÐÌpartiesðð€in€section€(c),€and€by€changing€the€words€ð ðtheÐ :Š  ÐÌpetitionerðð€to€the€words€ð ðany€partyðð€in€sections€(d)€and€(e),€asÐ æ6 ÐÌfollows:Ð ’â ÐÌÌRule€9„107.€€OBJECTION€Ð d ÐÌÌÓÓ€€(a)€€In€GeneralÐ –æ Ðà  à€€Any€person€having€a€right€to€participate€in€a€proceedingÐ B’ Ðfor€adoption€or€guardianship€may€file€a€notice€of€objection€toÐ î> Ðthe€adoption€or€guardianship.€€The€notice€may€include€a€statementÐ šê Ðof€the€reasons€for€the€objection€and€a€request€for€theÐ F –! Ðappointment€of€an€attorney.€€Ð ò!B# ÐCross€reference:€See€Rule€9„105€for€Form€of€Notice€of€Objection.€€Ð ž#î% Ѐ€(b)€€Time€for€Filing€ObjectionÐ J%š ' Ѐ€€€(1)€In€GeneralÐ ö&F") Ðà  à€€€Except€as€provided€by€subsections€(b)(2)€and€(b)(3)€ofÐ ¢(ò#+ Ðthis€Rule,€any€notice€of€objection€to€an€adoption€or€guardianshipÐ N*ž%- Ðshall€be€filed€within€30€days€after€the€show€cause€order€isÐ ú+J'/ Ðserved.€€Ð ¦-ö(1 Ѐ€€€(2)€Service€Outside€of€the€StateÐ ° Ðà  à€€€If€the€show€cause€order€is€served€outside€the€State€butÐ \¬ Ðwithin€the€United€States,€the€time€for€filing€a€notice€ofÐ X Ðobjection€shall€be€within€60€days€after€service.€€Ð ´  Ѐ€€€(3)€Service€Outside€of€the€United€StatesÐ ` ° Ðà  à€€€If€the€show€cause€order€is€served€outside€the€UnitedÐ  \  ÐStates,€the€time€for€filing€a€notice€of€objection€shall€be€withinÐ ¸  Ð90€days€after€service.€€Ð d´  Ѐ€€€(4)€Service€by€Publication€ò òor€Postingó ó€in€a€Newspaper€and€onÐ `  ÐWebsiteÐ ¼  Ðà  à€€€ò òIf€the€show€cause€order€is€served€by€publication€orÐ h¸ Ðposting,€the€time€for€filing€a€notice€of€objection€shall€be€theÐ d Ðdate€stated€in€the€show€cause€order,€which€shall€be€not€earlierÐ À Ðthan€30€days€after€the€posting€or€first€publication€of€the€showÐ l¼ Ðcause€order.ó ó€€òòIf€the€court€orders€service€by€publication,€theÐ h Ðdeadline€for€filing€a€notice€of€objection€shall€be€not€less€thanÐ Ä Ð30€days€from€the€later€of€(A)€the€date€that€the€notice€isÐ pÀ  Ðpublished€in€a€newspaper€or€(B)€the€last€day€that€the€notice€isÐ !l" Ðpublished€on€the€Maryland€Department€of€Human€Resources€website.óóÐ È"$ Ѐ€(c)€€ServiceÐ t$Ä& Ðà  à€€The€clerk€shall€serve€a€copy€of€any€notice€of€objection€onÐ  &p!( Ðò òthe€petitioneró ó€òòall€partiesóó€in€the€manner€provided€by€Rule€1„321.€€Ð Ì'#* Ѐ€(d)€€ResponseÐ x)È$, Ðà  à€€Within€ò òtenó ó€òò10óó€days€after€being€served€with€a€notice€ofÐ $+t&. Ðobjection,€ò òthe€petitioneró ó€òòany€partyóó€may€file€a€responseÐ Ð, (0 Ðchallenging€the€standing€of€the€person€to€file€the€notice€or€theÐ |.Ì)2 Ðtimeliness€of€the€filing€of€òòtheóó€notice€ò òof€objectionó ó.€€Ð ° Ѐ€(e)€€HearingÐ \¬ Ðà  à€€If€ò òthe€petitioneró ó€òòany€partyóó€files€a€response,€the€courtÐ X Ðshall€hold€a€hearing€promptly€on€the€issues€raised€in€theÐ ´  Ðresponse.€€Ð ` ° Ѐ€(f)€€Access€to€RecordsÐ  \  Ðà  à€€If€the€court€determines€that€the€person€filing€the€noticeÐ ¸  Ðof€objection€has€standing€to€do€so€and€that€the€notice€is€timelyÐ d´  Ðfiled,€it€shall€enter€an€order€permitting€the€person€to€inspectÐ `  Ðthe€papers€filed€in€the€proceeding€subject€to€reasonableÐ ¼  Ðconditions€imposed€in€the€order.€€Ð h¸ ÐÓÓSource:€€This€Rule€is€derived€in€part€from€former€Rule€D76€and€isÐ d Ðin€part€new.€€Ð ê: ÐÌÌÐ  l¼ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„108€by€adding€a€new€cross€reference,€asÐ 6 †  ÐÌfollows:Ð â 2  ÐÌÌRule€9„108.€€TEMPORARY€CUSTODY€Ð d´  ÐÌÌÓÓà  àThe€court€may€make€an€award€of€temporary€custody€of€a€minorÐ æ6 Ðprior€to€a€hearing.€€Ð ’â ÐòòCross€reference:€€See€Code,€Family€Law€Article,€ðð5„3B„12.óóÐ >Ž ÐSource:€€This€Rule€is€derived€from€former€Rule€D78€(d).€€Ð ê: ÐÓÓÌÌÐ  B’ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„109€by€adding€references€to€certain€CodeÐ 6 †  ÐÌprovisions€to€subsection€(a)(1);€by€making€optional€the€holdingÐ â 2  ÐÌof€a€hearing€in€a€consensual€public€or€private€agency€Ð ŽÞ  ÐÌguardianship;€by€adding€a€cross€reference€after€subsectionÐ :Š  ÐÌ(a)(2);€by€deleting€section€(b);€by€adding€a€new€subsectionÐ æ6 ÐÌ(b)(2)€referring€to€certain€Code€provisions;€by€changing€theÐ ’â ÐÌwords€ð ðare€in€orderðð€to€the€words€ð ðhave€been€filedðð€in€subsectionÐ >Ž ÐÌ(b)(3)(D);€by€revising€subsection€(b)(3)(F)€to€apply€only€to€aÐ ê: ÐÌnonconsensual€independent€adoption,€including€a€reference€toÐ –æ ÐÌcertain€Code€provisions;€and€by€adding€a€cross€reference€afterÐ B’ ÐÌsubsection€(b)(3)(I),€as€follows:Ð î> ÐÌÌRule€9„109.€€HEARING€ON€MERITSÐ pÀ  ÐÌÌÓÓ€€(a)€€RequirementÐ ò!B# Ѐ€€€òò(1)€€GenerallyóóÐ ž#î% Ðà  à€€€€The€court€shall€hold€a€hearing€òòand€make€findings€on€theÐ J%š ' Ðrecordóó€on€the€merits€ò òinó ó€òòofóó€a€ò òcontestedó ó€guardianship€ò òaction€and€inÐ ö&F") Ðeveryó ó€òòoróó€adoption€ò òaction€prior€to€entering€a€judgment€of€adoptionÐ ¢(ò#+ Ðor€guardianship.ó ó€òòpetition€as€provided€by€Code,€Family€LawÐ N*ž%- ÐArticle:óóÐ ú+J'/ Ðà  à€òò(A)€ðð5„318€in€a€nonconsensual€Public€Agency€Guardianship;óóÐ ¦-ö(1 Ðà  à€òò(B)€ðð5„335€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ ° Ðà  à€òò(C)€ðð5„347€in€a€Public€Agency€Adoption€after€TPR;óóÐ \¬ Ðà  à€òò(D)€ðð5„3A„32€in€a€Private€Agency€Adoption;€oróóÐ X Ðà  à€òò(E)€ðð5„3B„17€in€an€Independent€Adoption.óóÐ ´  Ѐ€€€òò(2)€€GuardianshipóóÐ ` ° Ðà  à€€€€The€court€may€hold€a€hearing€on€the€merits€ò òin€anyÐ  \  Ðguardianship€action.€€The€hearing€shall€be€on€the€record.ó ó€òòof€aÐ ¸  Ðconsensual€Public€or€Private€Agency€Guardianship€petition.óóÐ d´  ÐòòÓÓCross€reference:€€See€Code,€Family€Law€Article,€ðð5„318€as€toÐ `  ÐPublic€Agency€Guardianship.óó€Ð æ6 ÐÌÓÓ€€ò ò(b)€€Guardianshipó óà@ìì*ìàˆÐ ’â Ðà  à€€ò òWhen€the€court€holds€a€hearing€in€a€guardianship€action,Ð >Ž Ðit€shall€make€the€findings€required€by€Code,€Family€Law€Article,Ð ê: Ððð5„313€on€the€record.ó ó€€Ð –æ Ѐ€ò ò(c)ó ó€òò(b)óó€€AdoptionÐ B’ Ѐ€€€(1)€Persons€Present€at€HearingÐ î> Ðà  à€€€Unless€excused€for€good€cause€shown,€each€petitioner€andÐ šê Ðthe€person€to€be€adopted€shall€be€present€at€the€hearing€on€theÐ F –! Ðmerits€in€an€adoption€action.€€The€hearing€shall€be€conducted€outÐ ò!B# Ðof€the€presence€of€all€persons€other€than€the€petitioners,€theÐ ž#î% Ðperson€to€be€adopted,€and€those€persons€whose€presence€the€courtÐ J%š ' Ðdeems€necessary€or€desirable.€€Ð ö&F") ÐÓÓCommittee€note:€€Social€policy€against€public€disclosure€ofÐ ¢(ò#+ Ðadoption€proceedings€compels€all€hearings€to€be€as€private€asÐ x)È$, Ðpossible.€€This€Rule€leaves€to€the€discretion€of€the€trial€courtÐ N*ž%- Ðthe€extent€to€which€this€consideration€must€be€relaxed€in€theÐ $+t&. Ðinterest€of€fair€trial.€€Ð ú+J'/ ÐÌÓÓ€€€€òò(2)€€ConsiderationsóóÐ ¦-ö(1 Ðà  à€€€€òòIn€ruling€on€a€petition€for€adoption,€the€court€shallÐ ° Ðmake€the€considerations€required€by€Code,€Family€Law€Article:óóÐ \¬ Ðà  à€òò(A)€ðð5„337€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ X Ðà  à€òò(B)€ðð5„349€in€a€Public€Agency€Adoption€after€TPR;óóÐ ´  Ðà  à€òò(C)€ðð5„3A„34€in€a€Private€Agency€Adoption;€oróóÐ ` ° Ðà  à€òò(D)€ðð5„3B„19€in€an€Independent€Adoption.óóÐ  \  Ѐ€€€ò ò(2)ó ó€òò(3)óó€€Findings€by€the€CourtÐ ¸  Ðà  à€€€In€an€adoption€action,€the€court€shall€determine€on€theÐ d´  Ðrecord€whether:€€Ð `  Ðà  à€(A)€Necessary€consents€have€been€filed;€€Ð ¼  Ðà  à€(B)€Any€required€consents€have€been€revoked;€€Ð h¸ ÐCross€reference:€€Rules€9„111€(b)€and€9„112€(a).€€Ð d Ѐ€€€€€(C)€Appropriate€notices€have€been€served;€€Ð À Ðà  à€(D)€òòAnyóó€investigative€reports€ò òare€in€orderó ó€òòhave€been€filedóó;€Ð l¼ Ðà  à€(E)€All€questioned€or€disputed€issues€have€been€resolved;€€Ð h Ðà  à€(F)€In€ò òa€contested€caseó ó€òòa€nonconsensual€independentÐ Ä Ðadoption,óó€ò òwhere€adoption€will€terminate€a€parent's€rights,€theÐ pÀ  Ðparents€are€unfit€or€extraordinary€circumstances€existó ó€òòwhetherÐ !l" Ðthe€findings€required€by€Code,€Family€Law€Article,€ðð5„3B„21€haveÐ È"$ Ðbeen€metóó;€€Ð t$Ä& Ðà  à€(G)€The€adoptive€parents€are€fit€and€proper€to€be€theÐ  &p!( Ðparents€of€the€person€to€be€adopted;€€Ð Ì'#* Ðà  à€(H)€The€best€interests€of€the€person€to€be€adopted€will€beÐ x)È$, Ðserved€by€the€adoption;€and€€Ð $+t&. Ðà  à€(I)€Other€appropriate€matters€have€been€resolved.€€Ð Ð, (0 ÐÓÓòòCross€reference:€€See€Code,€Family€Law€Article,€ðððð5„337€as€to€aÐ |.Ì)2 ÐPublic€Agency€Adoption€without€Prior€TPR;€5„349€as€to€a€PublicÐ ° ÐAgency€Adoption€after€TPR;€5„3A„34€as€to€a€Private€AgencyÐ †Ö ÐAdoption;€and€5„3B„19,€5„3B„22,€and€5„3B„23€as€to€an€IndependentÐ \¬ ÐAdoption.óóÐ 2‚ ÐÌSource:€€This€Rule€is€in€part€derived€from€former€Rule€D77€and€isÐ Þ. Ðin€part€new.€€Ð ´  ÐÌÌÌÌÌÐ  ¸  Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„110€by€updating€the€cross€reference€at€the€endÐ 6 †  ÐÌof€the€Rule€and€to€make€a€stylistic€change,€as€follows:Ð â 2  ÐÌÌRule€9„110.€€ACCOUNTING€REPORT€Ð d´  ÐÌÌÓÓ€€(a)€€Duty€to€FileÐ æ6 Ðà  à€€In€an€independent€adoption€other€than€an€adoption€by€aÐ ’â Ðstepparent€or€relative€of€the€person€to€be€adopted,€eachÐ >Ž Ðpetitioner€shall€file€an€accounting€report€before€the€entry€of€aÐ ê: Ðfinal€judgment€of€adoption.€€Ð –æ Ѐ€(b)€€ContentsÐ B’ Ðà  à€€The€accounting€report€shall€include:€€Ð î> Ѐ€€€(1)€a€statement€of€all€payments€and€disbursements€of€money€orÐ šê Ðò òany€itemó ó€òòanythingóó€of€value,€including€benefits€in€kind,€made€byÐ F –! Ðor€on€behalf€of€any€petitioner€in€connection€with€the€adoption;€€Ð ò!B# Ѐ€€€(2)€the€approximate€date€the€payment€or€disbursement€was€madeÐ ž#î% Ðor€the€benefit€was€provided;€€Ð J%š ' Ѐ€€€(3)€the€name€of€the€payee€and€the€beneficiary;€and€€Ð ö&F") Ѐ€€€(4)€the€amount€of€the€payment€or€disbursement€or€theÐ ¢(ò#+ Ðreasonable€value€of€the€benefit€provided.€€Ð N*ž%- Ðà  àThe€court€may€require€the€production€of€documentation€toÐ ú+J'/ Ðsubstantiate€the€accounting€report.€€Ð ¦-ö(1 ÐÓÓCross€reference:€See€Code,€Family€Law€Article,€ò òðððð5„321€and€5„327Ð ° Ð(c)ó ó€òòðð5„3B„24€as€to€an€Independent€Adoptionóó.€€Ð †Ö ÐÌSource:€€This€Rule€is€new.€€Ð 2‚ ÐÌÐ  Þ. Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌ€€€€€AMEND€Rule€9„111€by€deleting€language€from€section€(a)€andÐ 6 †  ÐÌadding€language€referring€to€certain€Code€provisions,€by€deletingÐ â 2  ÐÌthe€words€ð ðnatural€or€biologicalðð€from€section€(e),€and€byÐ ŽÞ  ÐÌupdating€statutory€references€in€the€Committee€note€at€the€end€ofÐ :Š  ÐÌthe€Rule,€as€follows:Ð æ6 ÐÌÌRule€9„111.€€JUDGMENT€OF€ADOPTION€OR€GUARDIANSHIP€Ð h¸ ÐÌÌÓÓ€€(a)€€TimeÐ ê: Ѐ€€€€€€The€court€may€not€enter€a€judgment€of€adoption€orÐ –æ Ðguardianship€before€the€ò òlater€of€(1)€30€days€after€the€birth€ofÐ B’ Ðthe€child€or€(2)€expiration€of€the€time€for€revoking€all€requiredÐ î> Ðconsentsòòóó.ó ó€òòtime€set€forth€in€Code,€Family€Law€Article:óóÐ šê Ѐ€€€òò(1)€ðð5„319€in€a€Public€Agency€Guardianship;óóÐ F –! Ѐ€€€òò(2)€ðð5„336€in€a€Public€Agency€Adoption€without€Prior€TPR;óóÐ ò!B# Ѐ€€€òò(3)€ðð5„348€in€a€Public€Agency€Adoption€after€TPR;óóÐ ž#î% Ѐ€€€òò(4)€ðð5„3A„17€in€a€Private€Agency€Guardianship;óóÐ J%š ' Ѐ€€€òò(5)€ðð5„3A„33€in€a€Private€Agency€Adoption;€oróóÐ ö&F") Ѐ€€€òò(6)€ðð5„3B„18€in€an€Independent€Adoption.óóÐ ¢(ò#+ Ѐ€(b)€€Information€from€Other€CourtÐ N*ž%- Ðà  à€€If€a€required€consent€indicates€that€any€revocation€of€theÐ ú+J'/ Ðconsent€must€be€filed€in€a€court€other€than€the€trial€court,€theÐ ¦-ö(1 Ðtrial€court€may€not€enter€a€judgment€of€adoption€or€guardianshipÐ ° Ðuntil€it€has€obtained€from€the€other€court€a€copy€of€all€papersÐ \¬ Ðfiled€in€connection€with€the€consent€or€an€affidavit€of€the€clerkÐ X Ðof€the€other€court€that€no€papers€were€filed€in€connection€withÐ ´  Ðthe€consent.€€Ð ` ° Ѐ€(c)€€Supplemental€ReportÐ  \  Ðà  à€€Before€entering€a€judgment€of€adoption€or€guardianship,Ð ¸  Ðthe€court€may€require€a€supplemental€written€report€from€theÐ d´  Ðinvestigating€officer€or€agency.€€Ð `  Ѐ€(d)€€Change€of€NameÐ ¼  Ðà  à€€If€the€name€of€the€person€adopted€is€changed,€the€judgmentÐ h¸ Ðof€adoption€shall€state€the€new€name€of€the€person€adopted€andÐ d Ðthe€names€of€the€adopting€parents.€€Ð À Ѐ€(e)€€Spouse€of€ParentÐ l¼ Ðà  à€€If€the€adopting€parent€is€the€spouse€of€a€ò ònatural€orÐ h Ðbiologicaló ó€parent€of€the€person€to€be€adopted,€the€judgment€shallÐ Ä Ðspecifically€state€whether€and€to€what€extent€the€parental€rightsÐ pÀ  Ðof€the€ò ònatural€or€biologicaló ó€parent€are€affected.€€Ð !l" ÐÓÓCommittee€note:€€Any€attempt€to€set€aside€a€judgment€of€adoptionÐ È"$ Ðby€reason€of€a€procedural€defect€shall€be€filed€with€the€courtÐ ž#î% Ðwithin€one€year€following€entry€of€the€judgment.€€òòSeeóó€Code,Ð t$Ä& ÐFamily€Law€Article,€ò òðð5„325ó ó€òòðððð5„342€as€to€a€Public€Agency€AdoptionÐ J%š ' Ðwithout€Prior€TPR;€5„353€as€to€a€Public€Agency€Adoption€afterÐ  &p!( ÐTPR;€5„3A„37€as€to€a€Private€Agency€Adoption;€and€5„3B„26€as€toÐ ö&F") Ðan€Independent€Adoptionóó.€€Ð Ì'#* ÐÌà  àAn€adoptive€relationship€created€by€a€judgment€of€adoptionÐ x)È$, Ðin€another€jurisdiction€shall€be€given€full€faith€and€credit€byÐ N*ž%- Ðthe€courts€of€this€State.€€òòSeeóó€Code,€Family€Law€Article,€ò òðð5„326ó óÐ $+t&. Ðòòðððð5„305€as€to€a€Public€Agency€Adoption€without€Prior€TPR;€5„305Ð ú+J'/ Ðas€to€a€Public€Agency€Adoption€after€TPR;€5„3A„05€as€to€a€PrivateÐ Ð, (0 ÐAgency€Adoption;€and€5„3B„04€as€to€an€Independent€Adoptionóó.Ð ¦-ö(1 ÐÐ |.Ì)2 Ðà  àFor€the€legal€effect€of€adoption€ò òof€an€adultó ó,€see€Code,Ð ° ÐFamily€Law€Article,€ò òðð5„308ó ó€òòðððð5„341€as€to€a€Public€Agency€AdoptionÐ †Ö Ðwithout€Prior€TPR;€5„352€as€to€a€Public€Agency€Adoption€afterÐ \¬ ÐTPR;€5„3A„36€as€to€a€Private€Agency€Adoption;€and€5„3B„25€as€toÐ 2‚ Ðan€Independent€Adoptionóó.€€Ð X ÐÌSource:€€This€Rule€is€derived€òòin€partóó€from€former€Rule€D79€òòand€isÐ ´  Ðin€part€newóó.Ð Š Ú ÐÌÌÌÐ  â 2  Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„112€by€adding€a€sentence€at€the€end€of€sectionÐ 6 †  ÐÌ(b)€providing€for€the€clerk€to€notify€each€person€entitled€toÐ â 2  ÐÌnotice€of€the€finalization€of€the€adoption,€as€follows:Ð ŽÞ  ÐÌÌRule€9„112.€€COURT€RECORDS€Ð `  ÐÌÓÓ€€(a)€€DocketsÐ ¼  Ðà  à€€The€clerk€shall€keep€separate€dockets€for€(1)€adoption€andÐ h¸ Ðguardianship€proceedings€and€(2)€revocations€of€consent€toÐ d Ðadoption€or€guardianship€for€which€there€are€no€pending€adoptionÐ À Ðor€guardianship€proceedings€in€that€county.€€These€dockets€areÐ l¼ Ðnot€open€to€inspection€by€any€person,€including€the€parents,Ð h Ðexcept€upon€order€of€court.€€If€the€index€to€a€docket€is€keptÐ Ä Ðapart€from€the€docket€itself,€the€index€is€open€to€inspection.€€Ð pÀ  Ѐ€(b)€€Sealing€of€RecordsÐ !l" Ðà  à€€All€pleadings€and€other€papers€in€adoption€andÐ È"$ Ðguardianship€proceedings€shall€be€sealed€when€they€are€filed€andÐ t$Ä& Ðare€not€open€to€inspection€by€any€person,€including€the€parents,Ð  &p!( Ðexcept€upon€an€order€of€court.€€If€a€final€decree€of€adoption€wasÐ Ì'#* Ðentered€before€June€1,€1947€and€the€record€is€not€already€sealed,Ð x)È$, Ðthe€record€may€be€sealed€only€on€motion€of€a€party.€€òòThe€clerkÐ $+t&. Ðshall€notify€each€person€entitled€to€notice€that€the€adoption€hasÐ Ð, (0 Ðbeen€finalized.óóÐ |.Ì)2 ÐÓÓCross€reference:€€See€Code,€Health„General€Article,€ðð4„211,Ð ° Ðconcerning€the€amendment€and€replacement€of€birth€certificatesÐ †Ö Ðfollowing€adoption€and€the€requirement€that€the€clerk€transmit€toÐ \¬ Ðthe€Department€of€Health€and€Mental€Hygiene€a€report€of€adoptionÐ 2‚ Ðor€revocation€of€adoption.€€Ð X ÐÌSource:€€This€Rule€is€derived€from€former€Rule€D80€a€and€c.€€Ð ´  ÐÌÌÐ  6 †  Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ \¬ ÐÌà@¬¬ìàCHAPTER€100€„€ADOPTION;€GUARDIANSHIP€TERMINATINGˆÐ X ÐÌà@hh#ìàPARENTAL€RIGHTSˆÐ ´  ÐÌÌà  àAMEND€Rule€9„113€by€changing€the€name€of€the€Rule,€byÐ 6 †  ÐÌdeleting€the€tagline€to€section€(a),€by€revising€languageÐ â 2  ÐÌpertaining€to€certain€medical€and€mental€health€records€andÐ ŽÞ  ÐÌhistory,€by€providing€for€an€affirmation€to€the€court€ofÐ :Š  ÐÌreasonable€efforts€to€compile€a€prospective€adopteeððs€and€theÐ æ6 ÐÌadopteeððs€parentsðð€medical€and€mental€health€information,€byÐ ’â ÐÌdeleting€section€(b),€and€by€updating€the€cross€reference€at€theÐ >Ž ÐÌend€of€the€Rule,€as€follows:Ð ê: ÐÌÌRule€9„113.€€MEDICAL€òòAND€MENTAL€HEALTHóó€HISTORY€Ð l¼ ÐÌÌÓÓ€€ò ò(a)€€Duty€to€Provideó óÐ î> Ðà  à€€Except€in€an€adoption€by€a€stepparent€or€relative,€theÐ šê Ðperson€authorized€to€place€a€minor€child€for€adoption€shallÐ F –! Ðò òcompileó ó€òòaffirm€to€the€court€that€the€person€has€made€reasonableÐ ò!B# Ðefforts€to€compileóó€ò òa€medical€history€of€the€child,€file€it€withÐ ž#î% Ðthe€court,ó ó€and€make€ò òitó ó€available€to€a€prospective€adoptive€parentÐ J%š ' Ðò òand€to€the€adoptive€parentó ó€òò(1)€all€of€the€prospective€adopteeððsÐ ö&F") Ðmedical€and€mental€health€records€that€the€person€has€or€(2)€aÐ ¢(ò#+ Ðcomprehensive€medical€and€mental€health€history€of€theÐ N*ž%- Ðprospective€adoptee€and€the€prospective€adopteeððs€parents,€exceptÐ ú+J'/ Ðthat€the€records€of€the€parents€shall€contain€no€identifyingÐ ¦-ö(1 Ðinformation€unless€identifying€information€was€previouslyÐ ° Ðexchanged€by€agreementóó.€€Ð \¬ Ѐ€ò ò(b)€€Contentsó óÐ X Ðà  à€€ò òThe€medical€history€shall€contain€to€the€extentÐ ´  Ðobtainable:ó ó€€Ð ` ° Ѐ€€€ò ò(1)€current€physical€and€mental€health€status€of€the€child;ó ó€€Ð  \  Ѐ€€€ò ò(2)€the€prenatal€history€of€the€child;ó ó€€Ð ¸  Ѐ€€€ò ò(3)€the€birth€history€of€the€child;ó ó€€Ð d´  Ѐ€€€ò ò(4)€the€health€history€of€both€biological€parents;€andó ó€€Ð `  Ѐ€€€ò ò(5)€the€family€health€history€of€both€biological€parents.ó ó€€Ð ¼  ÐÓÓCross€reference:€òòSeeóó€Code,€Family€Law€Article,€òòððóóððò ò5„328ó ó€òò5„356€asÐ h¸ Ðto€a€Public€Agency€Adoption€without€Prior€TPR;€5„356€as€to€aÐ >Ž ÐPublic€Agency€Adoption€after€TPR;€and€5„3A„39€as€to€a€PrivateÐ d ÐAgency€Adoptionóó.€€Ð ê: ÐÌSource:€€This€Rule€is€new.€€Ð –æ ÐÌÌÐ  h ÐÔ‡XbâXXXb$Ôà@˜ ˜ ìàò òMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSó óˆÐ l ¼ ÐÌÌÌà@ðð"ìàòòò òTABLE€OF€CONTENTSó óóóˆÐ ” ä  ÐÌÌForm€9„102.1.€€CONSENT€OF€PARENT€TO€A€PUBLIC€AGENCY€GUARDIANSHIPÐ òB  ÐÌÌForm€9„102.2.€€CONSENT€OF€PARENT€TO€A€PRIVATE€AGENCY€GUARDIANSHIPÐ P   ÐÌÌForm€9„102.3.€€CONSENT€OF€PARENT€TO€A€PUBLIC€AGENCY€ADOPTIONÐ ®þ Ѐ€€€€€€€€€€€€€€WITHOUT€PRIOR€TERMINATION€OF€PARENTAL€RIGHTSÐ xÈ ÐÌÌForm€9„102.4.€€CONSENT€OF€PARENT€TO€AN€INDEPENDENT€ADOPTION€WITHÐ Ö& Ѐ€€€€€€€€€€€€€€TERMINATION€OF€PARENTAL€RIGHTSÐ  ð ÐÌÌForm€9„102.5.€€CONSENT€OF€PARENT€TO€AN€INDEPENDENT€ADOPTIONÐ þN Ѐ€€€€€€€€€€€€€€WITHOUT€TERMINATION€OF€PARENTAL€RIGHTSÐ È ÐÌÌForm€9„102.6.€€CONSENT€OF€CHILD€TO€A€PUBLIC€AGENCY€ADOPTION€ORÐ &v Ѐ€€€€€€€€€€€€€€PRIVATE€AGENCY€ADOPTIONÐ ð@  ÐÌÌForm€9„102.7.€€CONSENT€OF€CHILD€TO€AN€INDEPENDENT€ADOPTIONÐ N ž# ÐÌÌForm€9„102.8.€€ATTORNEY€AFFIDAVIT€AS€TO€CONSENT€OF€A€PARENT€TO€AÐ ¬"ü& Ѐ€€€€€€€€€€€€€€PUBLIC€AGENCY€GUARDIANSHIP€OR€PRIVATE€AGENCYÐ v#Æ' Ѐ€€€€€€€€€€€€€€GUARDIANSHIPÐ @$( ÐÌÌForm€9„102.9.€€ATTORNEY€AFFIDAVIT€AS€TO€CONSENT€OF€A€PARENT€TOÐ ž&î!+ Ѐ€€€€€€€€€€€€€€ADOPTIONÐ h'¸", ÐÌÌForm€9„102.10.€€ATTORNEY€AFFIDAVIT€AS€TO€CONSENT€OF€A€CHILD€TOÐ Æ)%/ Ѐ€€€€€€€€€€€€€€€ADOPTIONÐ *à%0 ÐÔ#†Xb$XXXbâA:#ÔÔ‡XbâXXXb$ÔÐ  Z+ª&1 Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.1,€as€follows:Ð Ê   ÐÌÌForm€9„102.1.€€CONSENT€OF€PARENT€TO€A€PUBLIC€AGENCY€GUARDIANSHIPÐ (x  ÐÌÌÌò òà@¼¼ìàCONSENT€OF€PARENT€TO€GUARDIANSHIP€WITH€THE€RIGHT€TO€ˆÐ P   ÐÌà@ÌÌìàCONSENT€TO€ADOPTION€OF€__________________________€TO€THEˆÐ ä4 Ðà  àà ` àà ¸ àà  àà h àÌà@€€ìà_______________________€DEPARTMENT€OF€SOCIAL€SERVICESˆÐ xÈ Ðó óÌÌà@$ìàòòò òINSTRUCTIONSóóó óˆÐ Ö& ÐÌò òó óòòThese€instructions€and€attached€consent€form€may€be€used€only€inÐ jº Ðcases€where€the€child€is€a€Child€in€Need€of€Assistance.€€Code,Ð 4„ ÐFamily€Law€Article,€Title€5,€Subtitle€3,€Part€II.Ð þN Ðò òóóó óÌò òÌà  àThe€attached€consent€form€is€an€important€legal€document.€Ð \¬ ÐYou€must€read€all€of€these€instructions€BEFORE€you€sign€theÐ &v Ðconsent€form.€€If€you€do€not€understand€the€instructions€or€theÐ ð@  Ðconsent€form,€you€should€not€sign€it.€€If€you€are€under€18€yearsÐ º ! Ðold€or€if€you€have€a€disability€that€makes€it€difficult€for€youÐ „Ô" Ðto€understand,€do€not€sign€the€consent€form€unless€you€have€aÐ N ž# Ðlawyer.Ð !h$ Ðó óÌÌò òA.€€€Right€to€Have€This€Information€in€a€Language€You€Understandó óÐ v#Æ' ÐÌà  àYou€have€the€right€to€have€these€instructions€and€theÐ  %Z ) Ðconsent€form€translated€into€a€language€that€you€understand.€€IfÐ Ô%$!* Ðyou€cannot€read€or€understand€English,€you€should€not€sign€theÐ ž&î!+ Ðconsent€form.€€You€should€have€this€form€translated€for€you€intoÐ h'¸", Ða€language€you€do€understand.€€The€translated€consent€form€is€theÐ 2(‚#- Ðone€you€should€read€and€decide€whether€or€not€to€sign.€€AnyÐ ü(L$. Ðtranslation€must€have€an€affidavit€attached€in€which€theÐ Æ)%/ Ðtranslator€states€that€it€is€a€true€and€accurate€translation€ofÐ *à%0 Ðthis€document.Ð Z+ª&1 ÐÌò òB.€€€Right€to€Speak€with€a€Lawyeró ó€Ð î,>(3 ÐÌà  àYou€have€the€right€to€speak€with€a€lawyer€before€you€decideÐ ‚.Ò)5 Ðwhether€or€not€to€consent.Ð ° ÐÌà  àIf€you€are€unable€to€afford€a€lawyer,€you€may€be€eligibleÐ D” Ðfor€a€lawyer€through€the€Office€of€the€Public€Defender.€€YouÐ ^ Ðshould€contact€the€Office€of€the€Public€Defender,€and€ask€for€aÐ Ø( Ðlawyer€to€represent€you€in€a€D.S.S.€(Department€of€SocialÐ ¢ò ÐServices)€guardianship€case.Ð l ¼ ÐÌà  àYou€should€not€sign€the€consent€form€without€a€lawyer€if€youÐ  P Ðare€under€18€years€old€or€have€a€disability€that€makes€itÐ Ê   Ðdifficult€for€you€to€understand€this€document.€€If€you€are€underÐ ” ä  Ð18€years€old€or€have€a€disability€that€makes€it€difficult€for€youÐ ^ ®  Ðto€understand€this€document,€you€are€required€to€have€a€lawyerÐ (x  Ðreview€the€form€with€you€before€you€can€consent€to€theÐ òB  Ðguardianship.€€You€should€contact€the€Office€of€the€PublicÐ ¼  ÐDefender,€or€let€the€Juvenile€Court€know€that€you€need€to€have€aÐ †Ö  Ðlawyer€appointed€for€you.Ð P   ÐÌà  àEven€if€you€do€not€have€the€right€to€have€the€court€appointÐ ä4 Ða€lawyer€for€you€or€to€be€represented€through€the€Office€of€theÐ ®þ ÐPublic€Defender,€you€have€the€right€to€speak€with€a€lawyer€youÐ xÈ Ðchoose€before€you€decide€whether€to€consent.Ð B’ ÐÌÌò òC.€€€Post„adoption€AgreementÐ  ð Ðó óÌà  àIf€you€have€made€a€written€agreement€with€the€adoptiveÐ 4„ Ðparents€for€future€contact€(known€as€a€post„adoption€agreement),Ð þN Ða€copy€of€that€agreement€must€be€attached€to€the€signed€consentÐ È Ðform.€€If€you€have€a€post„adoption€agreement,€and,€after€theÐ ’â Ðadoption,€the€adoptive€parents€do€not€do€what€they€agreed€to€do,Ð \¬ Ðit€will€not€affect€your€consent€to€the€guardianship€or€theÐ &v Ðadoption.€€However,€if€that€happens,€you€have€the€right€to€ask€aÐ ð@  Ðjudge€to€make€them€do€what€they€agreed€to€do.€€The€judge€canÐ º ! Ðorder€you€and€the€adoptive€parents€to€go€to€mediation,€order€theÐ „Ô" Ðadoptive€parents€to€do€what€they€agreed€to€do,€or€change€theÐ N ž# Ðagreement€if€the€judge€decides€that€it€is€in€the€childððs€bestÐ !h$ Ðinterest.Ð â!2% ÐÌò òÌD.€€€Conditional€ConsentÐ @$( Ðó óÌà  àIf€you€decide€to€sign€the€consent€form,€you€will€have€twoÐ Ô%$!* Ðchoices:Ð ž&î!+ ÐÌà  à(1)€€you€can€consent€to€the€guardianship€and€the€adoption€ofÐ 2(‚#- Ðyour€child€by€a€family€approved€by€D.S.S.;€€orÐ ü(L$. ÐÌà  à(2)€€you€can€consent€to€the€guardianship€only€if€the€childÐ *à%0 Ðis€adopted€into€a€specific€family.€€This€is€called€a€ð ðconditionalÐ Z+ª&1 Ðconsent.ðð€€If€you€sign€a€conditional€consent,€and€the€familyÐ $,t'2 Ðwhose€name€is€on€the€consent€cannot€adopt€the€child,€your€consentÐ î,>(3 Ðwill€no€longer€be€valid.€€The€court€will€try€to€locate€you€toÐ ¸-)4 Ðfind€out€if€you€want€to€sign€a€new€consent.€If€you€do€not€sign€aÐ ‚.Ò)5 Ðnew€consent,€the€court€can€have€a€trial€to€decide€whether€or€notÐ ° Ðyour€parental€rights€should€be€ended€(terminated)€and€whether€orÐ zÊ Ðnot€guardianship€with€the€right€to€consent€to€adoption€should€beÐ D” Ðgranted€to€D.S.S.,€even€without€your€consent.€Ð ^ ЀÌò òÌE.€€€Effect€of€Signing€the€Consent€FormÐ l ¼ Ðó óÌò òIF€YOU€SIGN€THE€CONSENT€FORM,€AND€THE€GUARDIANSHIP€IS€GRANTED,Ð  P ÐYOU€WILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIES€RELATING€TOÐ Ê   ÐTHE€CHILD.€ó ó€Ð ” ä  Ѐ€€€€Ð ^ ®  Ðà  àIf€you€have€a€post„adoption€agreement,€you€will€keep€onlyÐ (x  Ðthe€rights€the€agreement€gives€you.€€Violation€of€the€agreementÐ òB  Ðwill€not€affect€your€consent€or€the€adoption.Ð ¼  ÐÌà  àAfter€you€sign€the€consent€form,€the€person€or€agency€toÐ P   Ðwhom€you€give€the€form€must€file€it€in€the€Juvenile€CourtÐ j  Ðpromptly.€€If€a€guardianship€case€has€been€filed,€it€will€beÐ ä4 Ðfiled€in€the€guardianship€case.€€If€a€guardianship€case€has€notÐ ®þ Ðbeen€filed,€it€will€be€filed€in€the€childððs€CINA€(Child€in€NeedÐ xÈ Ðof€Assistance)€case.€€When€it€is€filed,€a€copy€of€the€filedÐ B’ Ðconsent€form€will€be€sent€to€you€at€the€address€you€list€at€theÐ  \ Ðend€of€the€consent€form.€€It€is€your€responsibility€to€let€theÐ Ö& Ðcourt€know€if€your€address€changes.Ð  ð ÐÌò òÌF.à  àRight€to€Revoke€ConsentÐ þN Ðó óÌà  àIf€you€sign€the€consent€form€and€then€change€your€mind€andÐ ’â Ðno€longer€want€to€consent,€you€have€the€right€to€revoke€(cancel)Ð \¬ Ðthe€consent€ò òwithin€30€days€after€the€date€that€it€is€filed€inÐ &v ÐJuvenile€Courtó ó.€€The€only€way€that€you€can€revoke€this€consent€isÐ ð@  Ðby€giving€a€ò òsigned€written€revocation€statementó ó€with€the€name,Ð º ! Ðsex,€and€date€of€birth€of€the€child€(if€you€know€it)€to:€€Ð „Ô" Ðà  àà ` àÌÌJuvenile€Clerk,€Circuit€Court€for€__________________________,€at€Ð â!2% ÐÌ______________________________________________________(Address).Ð v#Æ' ÐÌÌà  àThe€written€and€signed€revocation€statement€must€be€sent€toÐ Ô%$!* Ðthe€court,€not€to€your€social€worker€or€lawyer.€€You€may€deliverÐ ž&î!+ Ðyour€written€revocation€of€consent€in€person€or€by€mail.€€If€itÐ h'¸", Ðis€not€òòreceivedóó€by€the€Juvenile€Clerkððs€office€ò òwithin€30€daysÐ 2(‚#- Ðafter€the€date€the€consent€form€was€filed€in€courtó ó,€it€will€beÐ ü(L$. Ðtoo€late,€and€you€will€not€be€able€to€withdraw€the€consent€orÐ Æ)%/ Ðstop€the€guardianship€from€being€granted.Ð *à%0 ÐÌò òÌG.à  àFurther€Notice€of€Guardianship€and€Adoption€Proceedings€Ð î,>(3 Ðó óÌà  àA€petition€for€guardianship€with€the€right€to€consent€toÐ ‚.Ò)5 Ðadoption€has€been€or€will€be€filed€in€_____________________Ð ° ÐJuvenile€Court.€€If€you€sign€the€consent€form,€your€writtenÐ zÊ Ðconsent€form€will€also€be€filed€in€the€Juvenile€Court.€€You€haveÐ D” Ðthe€right€to€be€notified€when€the€petition€is€filed,€about€anyÐ ^ Ðhearings€before€or€after€guardianship€is€granted,€if€and€whenÐ Ø( Ðguardianship€is€granted,€and€if€and€when€the€child€is€adopted.€Ð ¢ò ÐAny€notices€will€be€sent€to€the€address€given€by€you€on€theÐ l ¼ Ðconsent€form,€unless€you€write€to€the€Juvenile€Clerk€atÐ 6 † Ð____________________________________€(courtððs€address)€and€giveÐ  P Ðthe€clerk€your€new€address.€€You€may€waive€(give€up)€your€rightÐ Ê   Ðto€notice€if€you€wish€to€do€so.€€Even€if€you€give€up€your€rightÐ ” ä  Ðto€notice,€someone€from€the€court€may€contact€you€if€furtherÐ ^ ®  Ðinformation€is€needed.Ð (x  ÐÌÌò òH.à  àCompensationó óÐ †Ö  ÐÌà  àUnder€Maryland€law,€you€are€not€allowed€to€charge€or€receiveÐ j  Ðmoney€or€compensation€of€any€kind€for€the€placement€for€adoptionÐ ä4 Ðof€your€child€or€for€your€agreement€to€the€adoptive€parent€havingÐ ®þ Ðcustody€of€your€child,€except€that€reasonable€and€customaryÐ xÈ Ðcharges€or€fees€for€adoption€counseling,€hospital,€legal,€orÐ B’ Ðmedical€services€may€be€paid.€€Ð  \ ÐÌÌò òI.à  àAccess€to€Birth€and€Adoption€Records€Ð jº Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ þN Ðchild's€other€parent,€or€you€may€apply€to€the€Maryland€SecretaryÐ È Ðof€the€Department€of€Health€and€Mental€Hygiene€for€access€toÐ ’â Ðcertain€birth€and€adoption€records.€€If€you€do€not€wantÐ \¬ Ðinformation€about€you€to€be€disclosed€(given)€to€that€person,€youÐ &v Ðhave€the€right€to€prevent€disclosure€by€filing€a€ò òdisclosure€vetoó ó.€Ð ð@  ÐAttached€to€this€document€is€a€copy€of€the€form€that€you€may€useÐ º ! Ðif€you€want€to€file€a€disclosure€veto.€Ð „Ô" Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð N ž# Ðò òÌÐ  â!2% ÐJ.€€à  àAdoption€Search,€Contact,€and€Reunion€Services€Ð ° Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ D” Ðchild's€other€parent€or€siblings,€or€you€may€apply€to€theÐ ^ ÐDirector€of€the€Social€Services€Administration€of€the€MarylandÐ Ø( ÐDepartment€of€Human€Resources€for€adoption€search,€contact,€andÐ ¢ò Ðreunion€services.€€€€€€€€€€€Ð l ¼ ÐÌò òÌK.à  àRights€Under€the€Indian€Child€Welfare€ActÐ Ê   Ðó óÌà  àIf€you€or€your€child€are€members€of€or€are€eligible€forÐ ^ ®  Ðmembership€in€an€Indian€tribe,€as€defined€by€federal€law,€youÐ (x  Ðhave€special€legal€rights€under€the€Indian€Child€Welfare€Act.€Ð òB  ÐYou€should€not€sign€this€consent€form€if€you€believe€this€mayÐ ¼  Ðapply€to€you.€€You€should€tell€the€person€requesting€the€consentÐ †Ö  Ðor€the€court€that€you€believe€that€your€child's€case€should€beÐ P   Ðhandled€under€the€Indian€Child€Welfare€Act.Ð j  ÐÌÌò òL.€€€Authorization€for€Access€to€Medical€and€Mental€HealthÐ xÈ ÐRecordsÐ B’ ÐÌà  àó óYou€may€be€asked€to€sign€a€separate€form€(authorization)€toÐ Ö& Ðallow€the€adoptive€parents€and€D.S.S.€to€get€your€childððs€medicalÐ  ð Ðand€mental€health€records€or€your€medical€and€mental€healthÐ jº Ðrecords.€€If€you€agree€to€allow€access€to€this€information,€theÐ 4„ Ðrecords€given€to€the€adoptive€parents€will€not€includeÐ þN Ðidentifying€information€about€you€unless€identifying€informationÐ È Ðwas€previously€exchanged€by€agreement.Ð ’â ÐÌÌò òM.€€à  àSignature,€Witness,€and€Copy€€Ð ð@  Ðó óÌà  àIf€you€decide€to€complete€and€sign€the€consent€form,€youÐ „Ô" Ðmust€have€a€witness€present€when€you€sign€it.€€The€witness€mustÐ N ž# Ðbe€someone€18€or€older€and€should€not€be€the€child€or€the€childððsÐ !h$ Ðother€parent.€€You€must€complete€and€sign€the€form€with€a€pen€andÐ â!2% Ðprint€or€type€in€your€name,€address,€and€telephone€number.€€TheÐ ¬"ü& Ðwitness€also€must€sign€the€form€and€print€or€type€in€the€witnessððÐ v#Æ' Ðname,€address,€and€telephone€number€in€the€blanks€on€the€lastÐ @$( Ðpage.€€Ð  %Z ) ÐÌIf€you€have€a€post„adoption€agreement,€you€must€attach€a€copy€toÐ ž&î!+ Ðthe€signed€consent€form.Ð h'¸", ÐÌYou€have€the€right€to€receive€a€copy€of€the€signed€consent€form.Ð ü(L$. ÐÌò òÐ  *à%0 ÐSTOP€HERE€IF€YOU€DID€NOT€UNDERSTAND€SOMETHING€YOU€HAVE€READ€OR€IFÐ ° ÐYOU€WANT€TO€SPEAK€WITH€A€LAWYER€BEFORE€YOU€DECIDE€IF€YOU€WANT€TOÐ zÊ ÐSIGN€THE€CONSENT€FORM.Ð D” ÐÌÌÌIf€you€wish€to€sign€the€consent€form,€you€must€also€sign€here€toÐ l ¼ Ðverify€that€you€read€these€instructions€and€understand€them:Ð 6 † ÐÌÌ______________________________________€€€________________________Ð ” ä  Ð(Signature)€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Date)Ð ^ ®  ÐÌÌYou€must€attach€a€copy€of€these€signed€instructions€to€the€signedÐ ¼  Ðconsent€form.Ð †Ö  ÐÌÐ  j  ÐCONSENT€TO€GUARDIANSHIP€WITH€THE€RIGHT€TO€CONSENT€TO€ADOPTION€OF€Ð ° ÐÌ______________________________€€TO€€____________________________Ð D” ÐÌà@ ìàDEPARTMENT€OF€SOCIAL€SERVICESˆÐ Ø( Ðó óÌÌò òUse€a€pen€to€fill€out€this€form.€€You€must€complete€each€section.Ð 6 † Ðó óÌÌÓ€ a(š½83ÓÝ"‚!3£"ÝÝ  Ýò òÝ‚!3£º}ÝÔ2š½ÔÚ  ÚAÚ  Ú.Ô3  Ôà0  àÝ  ÝIdentifying€Informationó ó݃!3£º}ê}݌Д ä (#(# ÐŒÝ  Ý€Ìà  à1.€€Language.€€€Ð (x  ÐÌ€€€€€€€€€I€understand€English,€or€this€consent€form€has€beenÐ ¼  ÐÌtranslated€into€____________________________________,€a€languageÐ P   ÐÌthat€I€understand.Ð ä4 ÐÌà  à2.€€Name.à ¸ àÐ xÈ ÐÌà  à€€€€My€name€is€____________________________________________.€Ð  \ ЀÌà  à3.€€Age.à ¸ àÐ  ð ÐÌà  à€€€€My€date€of€birth€is€___________________________________.€Ð 4„ ÐÌà  à4.€€Child.Ð È ÐÌà  à€€€€The€child€who€is€the€subject€of€this€consent€was€born€onÐ \¬ ÐÌ_________________€at€_________________________________________€,€Ð ð@  Ѐ€€€€€(date)€€€€€€à  à(name€of€hospital€or€address€of€birthplace)Ð º ! ÐÌin€_____________________________________________________________.Ð N ž# Ѐ€€€€€€€€€€€€€€€(city,€state,€and€county€of€birth)€Ð !h$ Ðà  àà ` àà ¸ àà  àÌà  à5.€€Status€as€Parent.€€Check€ò òalló ó€that€apply.€Ð ¬"ü& Ѐ€Ð v#Æ' Ðà  àà ` à(a)€€I€amÐ @$( ÐÌà  àà ` àà ¸ à[€€]€the€mother€of€the€childÐ Ô%$!* ÐÌà  àà ` àà ¸ à[€€]€the€father€of€the€childÐ h'¸", ÐÌà  àà ` àà ¸ à[€€]€alleged€to€be€the€father€of€the€childÐ ü(L$. ÐÌÐ  *à%0 Ðà  àà ` à(b)€€I€was€married€to€the€mother€of€the€childÐ ° ÐÌà  àà ` àà ¸ à[€€]€at€the€time€of€conception€of€the€childÐ D” ÐÌà  àà ` àà ¸ à[€€]€at€the€time€the€child€was€born.€Ð Ø( ÐÌò òÌB.à  àRight€to€Speak€with€a€LawyerÐ 6 † Ðó óÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð Ê   ÐÌCheck€ò òoneó ó€of€the€following:Ð ^ ®  ÐÌà  à[€€]à ` àI€already€have€spoken€with€a€lawyer€whose€name€andÐ òB  ÐÌ€€€€€€€€€€telephone€number€are€_________________________________.Ð †Ö  ÐÌ€€€€€€€€€€I€have€read€the€instructions€in€front€of€this€form,€andÐ j  ÐÌ€€€€€€€€€€I€am€ready€to€consent€to€the€guardianship€with€theÐ ®þ ÐÌ€€€€€€€€€€right€to€consent€to€adoption.Ð B’ ÐÌà  àORÐ Ö& ÐÌà  à[€€]€I€am€at€least€18€years€old€and€am€able€to€understandÐ jº ÐÌ€€€€€€€€€€this€document.€€I€have€read€the€instructions€at€theÐ þN ÐÌ€€€€€€€€€€front€of€this€form,€and€I€do€not€want€to€speak€with€aÐ ’â ÐÌ€€€€€€€€€€lawyer€before€I€consent€to€the€guardianship€with€theÐ &v ÐÌ€€€€€€€€€€right€to€consent€to€adoption.Ð º ! ÐÌÌÓ€ (Š½88aÓØ! !ØÝ"‚!3£"ÝÝ  Ýò òÝ‚!3£ŠÝÔ2Š½ÔÚ  ÚCÚ  Ú.Ô3  Ôà0  àÝ  ÝConsentó ó݃!3£Š±ŠÝŒÐ!h$(#(# ÐŒÝ  Ýà  àÌCheck€ò òoneó ó€of€the€following€statements:Ð ¬"ü& ÐÌà  à[€€]€I€voluntarily€and€of€my€own€free€will€consent€to€theÐ @$( ÐÌ€€€€€€€€€€ending€(termination)€of€my€parental€rights€and€to€theÐ Ô%$!* ÐÌ€€€€€€€€€€appointment€of€___________________€Department€of€SocialÐ h'¸", ÐÌ€€€€€€€€€€Services€to€be€the€guardian€of€my€child,€with€the€rightÐ ü(L$. ÐÌ€€€€€€€€€€of€the€guardian€to€consent€to€adoption.Ð *à%0 ÐÌà  àOR€Ð $,t'2 ÐÌà  à[€€]€I€voluntarily€and€of€my€own€free€will€consent€to€theÐ ¸-)4 ÐÐ ‚.Ò)5 Ѐ€€€€€€€€€ending€(termination)€of€my€parental€rights€and€to€theÐ ° ÐÌ€€€€€€€€€€appointment€of€__________________________€Department€ofÐ D” ÐÌ€€€€€€€€€€Social€Services,€to€be€the€guardian€of€my€child€as€longÐ Ø( ÐÌ€€€€€€€€€€as€my€child€is€adopted€by€____________________________.€Ð l ¼ ÐÌÌò òD.à  àNoticeÐ Ê   Ðó óÌCheck€ò òoneó ó€of€the€following:Ð ^ ®  ÐÌà  à[€€]€I€give€up€(waive)€the€right€to€any€further€notice€ofÐ òB  ÐÌ€€€€€€€€€€the€guardianship€case,€any€reviews€after€guardianshipÐ †Ö  ÐÌ€€€€€€€€€€is€granted,€or€when€my€child€is€adopted.Ð j  ÐÌà  àORÐ ®þ ÐÌà  à[€€]à ` àI€give€up€(waive)€the€right€to€any€further€notice€ofÐ B’ ÐÌ€€€€€€€€€€the€guardianship€case€or€any€reviews€after€guardianshipÐ Ö& ÐÌ€€€€€€€€€€is€granted,€but€I€want€to€be€notified€when€my€child€isÐ jº ÐÌ€€€€€€€€€€adopted.Ð þN ÐÌà  àORÐ ’â ÐÌà  à[€€]€I€want€to€be€notified€about€anything€that€happens€inÐ &v ÐÌ€€€€€€€€€€the€guardianship€case,€any€reviews€after€guardianshipÐ º ! ÐÌ€€€€€€€€€€is€granted,€and€when€my€child€is€adopted.Ð N ž# ÐÌò òÌE.à  àRevocation€RightsÐ ¬"ü& Ðó óÌà  àI€understand€that€if€I€change€my€mind€and€no€longer€consentÐ @$( ÐÌto€the€guardianship€with€the€right€to€consent€to€adoption,€I€haveÐ Ô%$!* ÐÌthe€right€to€revoke€this€consent€ò òwithin€30€days€after€it€is€filedÐ h'¸", ÐÌin€Juvenile€Courtó ó.€€I€understand€that€the€only€way€that€I€canÐ ü(L$. ÐÌrevoke€this€consent€is€by€giving€a€ò òsigned€written€revocationó ó€toÐ *à%0 ÐÌthe€Juvenile€Clerk,€Circuit€Court€for€________________________€at€Ð $,t'2 ÐÌ________________________________________________________________.Ð ¸-)4 ÐÐ ‚.Ò)5 Їò òF.€€à  àEffect€of€this€Consentó óÐ ° ЀÌò òI€UNDERSTAND€THAT€IF€I€SIGN€THIS€CONSENT€FORM,€AND€GUARDIANSHIPÐ D” ÐÌIS€GRANTED,€I€WILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIESÐ Ø( ÐÌRELATING€TO€THE€CHILD,€EXCEPT€THOSE€RIGHTS€THAT€I€HAVE€KEPT€UNDERÐ l ¼ ÐÌANY€WRITTEN€POST„ADOPTION€AGREEMENT.Ð  P ÐÌÌG.à  àOath€and€Signature€Ð ^ ®  Ðó óÌà  àI€have€read€carefully€and€understand€the€instructions€at€theÐ òB  ÐÌfront€of€this€consent€form.€€I€am€signing€this€consent€formÐ †Ö  ÐÌvoluntarily€and€of€my€own€free€will.€Ð j  ÐÌÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ xÈ ÐÌcontents€of€this€consent€form€are€true€to€the€best€of€myÐ  \ ÐÌknowledge,€information,€and€belief.€€Ð  ð ÐÌÌ___________________________à À à________________________________Ð þN Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð È ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð \¬ Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð &v ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð º ! Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð „Ô" ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð !h$ Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð â!2% ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð v#Æ' Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð @$( ÐÌÌWitness:Ð ž&î!+ ÐÌÌ________________________________à  àà0 p à________________________à @°" àÐü(L$.p(#p(# Ð(Signature)à ¸ àà  àà h àà À àà  àà p à(Date)Ð Æ)%/ ÐÌ________________________________Ð Z+ª&1 Ð(Printed€Name)Ð $,t'2 ÐÌ________________________________Ð ¸-)4 Ð(Address)Ð ‚.Ò)5 Ї________________________________Ð ° Ð(City,€State,€Zip€Code)Ð zÊ ÐÌ_________________________________Ð ^ Ð(Telephone€Number)Ð Ø( Ðò òÌÌA€COPY€OF€THE€INSTRUCTIONS€WITH€YOUR€SIGNATURE€MUST€BE€ATTACHEDÐ 6 † ÐTO€THIS€CONSENT€FORM.ó óÐ  P ÐÌò òÌIF€YOU€HAVE€A€POST„ADOPTION€AGREEMENT,€ATTACH€A€COPY€TO€THISÐ ^ ®  ÐCONSENT€FORM.Ð (x  Ðó óÌÌÌÌÌÌÐ  ®þ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.2,€as€follows:Ð Ê   ÐÌÔ#†Xb$XXXbâUA#ÔÔ‡XbâXXXb$ÔÌForm€9„102.2.€€CONSENT€OF€PARENT€TO€A€PRIVATE€AGENCY€GUARDIANSHIPÐ (x  ÐÌÌÌò òà@ÜÜ ìàCONSENT€OF€PARENT€TO€GUARDIANSHIP€WITH€THE€RIGHT€TO€CONSENT€ˆÐ P   ÐÌà0  àTO€ADOPTION€OF€__________________________________€TOÐä4(#(# ÐÌà@€€ìà________________________________,€A€LICENSED€PRIVATE€ˆÐ xÈ ÐÌà@hh#ìàADOPTION€AGENCYˆÐ  \ Ðó óÌÌà@$ìàòòò òINSTRUCTIONSó óóóˆÐ jº ÐÌà  àò òó óòòThese€instructions€and€attached€consent€form€may€be€usedÐ þN Ðonly€in€cases€where€the€child€is€being€placed€for€adoption€withÐ È Ðthe€assistance€of€a€licensed€ò òprivateó ó€adoption€agency.€€Code,Ð ’â ÐFamily€Law€Article,€Title€5,€Subtitle€3A.Ð \¬ Ðò òóóó óÌò òÌà  àThe€attached€consent€form€is€an€important€legal€document.€Ð º ! ÐYou€must€read€all€of€these€instructions€BEFORE€you€sign€theÐ „Ô" Ðconsent€form.€€If€you€do€not€understand€the€instructions€or€theÐ N ž# Ðconsent€form,€you€should€not€sign€it.€€If€you€are€under€18€yearsÐ !h$ Ðold€or€if€you€have€a€disability€that€makes€it€difficult€for€youÐ â!2% Ðto€understand,€do€not€sign€the€consent€form€unless€you€have€aÐ ¬"ü& Ðlawyer.Ð v#Æ' ÐÌÌA.€€€Right€to€Have€This€Information€in€a€Language€You€UnderstandÐ Ô%$!* Ðó óÌà  àYou€have€the€right€to€have€these€instructions€and€theÐ h'¸", Ðconsent€form€translated€into€a€language€that€you€understand.€€IfÐ 2(‚#- Ðyou€cannot€read€or€understand€English,€you€should€not€sign€theÐ ü(L$. Ðconsent€form.€€You€should€have€this€form€translated€for€you€intoÐ Æ)%/ Ða€language€you€do€understand.€€The€translated€consent€form€is€theÐ *à%0 Ðone€you€should€read€and€decide€whether€or€not€to€sign.€AnyÐ Z+ª&1 Ðtranslation€must€have€an€affidavit€attached€in€which€theÐ $,t'2 Ðtranslator€states€that€it€is€a€true€and€accurate€translation€ofÐ î,>(3 Ðthis€document.Ð ¸-)4 ÐÐ ‚.Ò)5 Їò òB.€€€Right€to€Speak€with€a€Lawyeró ó€Ð ° ÐÌà  àò òó óYou€have€the€right€to€speak€with€a€lawyer€before€you€decideÐ D” Ðwhether€or€not€to€consent.Ð ^ ÐÌà  àYou€should€not€sign€the€consent€form€without€a€lawyer€if€youÐ ¢ò Ðare€under€18€years€old€or€have€a€disability€that€makes€itÐ l ¼ Ðdifficult€for€you€to€understand€this€document.€€If€you€are€underÐ 6 † Ð18€years€old€or€have€a€disability€that€makes€it€difficult€for€youÐ  P Ðto€understand€this€document,€you€are€required€to€have€a€lawyerÐ Ê   Ðreview€the€form€with€you€before€you€can€consent€to€theÐ ” ä  Ðguardianship.€€Ð ^ ®  ÐÌà  àEven€if€you€are€not€required€to€have€a€lawyer,€you€have€theÐ òB  Ðright€to€speak€with€a€lawyer€you€choose€before€you€decide€whetherÐ ¼  Ðto€consent.€Ð †Ö  ÐÌà  àYou€can€ask€the€court€to€require€the€agency€seekingÐ j  Ðguardianship€of€your€child€to€pay€the€costs€of€the€lawyer.€€TheÐ ä4 Ðjudge€does€not€have€to€grant€that€request€but€may€do€so.Ð ®þ ÐÌò òC.€€€Post„adoption€AgreementÐ B’ Ðó óÌà  àIf€you€have€made€a€written€agreement€with€the€adoptiveÐ Ö& Ðparents€for€future€contact€(known€as€a€post„adoption€agreement),Ð  ð Ða€copy€of€that€agreement€must€be€attached€to€the€signed€consentÐ jº Ðform.€€If€you€have€a€post„adoption€agreement,€and,€after€Ð 4„ Ðadoption,€the€adoptive€parents€do€not€do€what€they€agreed€to€do,Ð þN Ðit€will€not€affect€your€consent€to€the€guardianship€or€theÐ È Ðadoption.€€However,€if€that€happens,€you€have€the€right€to€ask€aÐ ’â Ðjudge€to€make€them€do€what€they€agreed€to€do.€€The€judge€canÐ \¬ Ðorder€you€and€the€adoptive€parents€to€go€to€mediation,€order€theÐ &v Ðadoptive€parents€to€do€what€they€agreed€to€do,€or€change€theÐ ð@  Ðagreement€if€the€judge€decides€that€it€is€in€the€childððs€bestÐ º ! Ðinterest.Ð „Ô" Ðò òÌÌD.€€€Conditional€ConsentÐ â!2% Ðó óÌà  àIf€you€decide€to€sign€the€consent€form,€you€will€have€twoÐ v#Æ' Ðchoices:Ð @$( ÐÌà  à(1)€€you€can€consent€to€the€guardianship€and€the€adoption€ofÐ Ô%$!* Ðyour€child€by€a€family€approved€by€the€adoption€agency;€€orÐ ž&î!+ ÐÌà  à(2)€€you€can€consent€to€the€guardianship€only€if€the€childÐ 2(‚#- Ðis€adopted€into€a€specific€family.€€This€is€called€a€ð ðconditionalÐ ü(L$. Ðconsent.ðð€€If€you€sign€a€conditional€consent,€and€the€familyÐ Æ)%/ Ðwhose€name€is€on€the€consent€cannot€adopt€the€child,€your€consentÐ *à%0 Ðwill€no€longer€be€valid.€€The€adoption€agency€will€try€to€locateÐ Z+ª&1 Ðyou€to€find€out€if€you€want€to€sign€a€new€consent.€If€yourÐ $,t'2 Ðparental€rights€have€not€been€taken€away€(guardianship€has€notÐ î,>(3 Ðyet€been€granted),€and€you€do€not€sign€a€new€consent,€the€courtÐ ¸-)4 Ðwill€end€the€guardianship€case.€€If€your€parental€rights€haveÐ ‚.Ò)5 Ðbeen€taken€away€(guardianship€has€been€granted),€and€you€do€notÐ ° Ðsign€a€new€consent,€the€court€will€decide€whether€it€is€in€theÐ zÊ Ðchildððs€best€interests€to€continue€the€guardianship.€Ð D” ÐÌò òÌE.€à  àEffect€of€Signing€the€Consent€FormÐ ¢ò Ðó óÌò òIF€YOU€SIGN€THE€CONSENT€FORM,€AND€GUARDIANSHIP€IS€GRANTED,€YOUÐ 6 † ÐWILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIES€RELATING€TO€THEÐ  P ÐCHILD.€ó ó€Ð Ê   Ѐ€€€€Ð ” ä  Ðà  àIf€you€have€a€post„adoption€agreement,€you€will€keep€onlyÐ ^ ®  Ðthe€rights€the€agreement€gives€you.€€Violation€of€the€agreementÐ (x  Ðwill€not€affect€your€consent€or€the€adoption.Ð òB  ÐÌò òÌF.à  àRight€to€Revoke€ConsentÐ P   Ðó óÌà  àIf€you€sign€the€consent€form€and€then€change€your€mind€andÐ ä4 Ðno€longer€want€to€consent,€you€have€the€right€to€revoke€(cancel)Ð ®þ Ðthe€consent€ò òwithin€30€days€after€the€date€that€you€sign€theÐ xÈ Ðconsent€formó ó.€€The€only€way€that€you€can€revoke€this€consent€isÐ B’ Ðby€giving€a€ò òsigned€written€revocation€statementó ó€with€the€name,Ð  \ Ðsex,€and€date€of€birth€of€the€child€(if€you€know€it)€to:€€Ð Ö& Ðà  àà ` àÌÌAdoption€Clerk,€Circuit€Court€for€___________€at€_______________.€Ð 4„ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Address)Ð þN ÐÌÌà  àThe€revocation€must€be€sent€to€the€court,€not€to€theÐ \¬ Ðlawyers,€or€the€agency,€or€the€people€adopting€the€child.€€YouÐ &v Ðmay€deliver€your€written€revocation€of€consent€in€person€or€byÐ ð@  Ðmail.€€If€it€is€not€ò òreceivedó ó€by€the€Adoption€Clerkððs€officeÐ º ! Ðwithin€30€days€after€the€date€you€signed€the€consent€form,€itÐ „Ô" Ðwill€be€too€late,€and€you€will€not€be€able€to€withdraw€theÐ N ž# Ðconsent€or€stop€the€guardianship€from€being€granted.Ð !h$ ÐÌà  àIf€you€sign€the€consent€form,€and€then€revoke€your€consent,Ð ¬"ü& Ðand€then€decide€to€consent€to€the€guardianship€again,€you€willÐ v#Æ' Ðnot€be€able€to€revoke€your€second€consent€if€you€give€your€secondÐ @$( Ðconsent€in€court€within€one€year€of€your€revocation€of€thisÐ  %Z ) Ðconsent.Ð Ô%$!* ÐÌò òÌG.à  àFurther€Notice€of€Guardianship€and€Adoption€Proceedings€Ð 2(‚#- Ðó óÌà  àA€petition€for€guardianship€with€the€right€to€consent€toÐ Æ)%/ Ðadoption€has€been€or€will€be€filed€in€__________________________Ð *à%0 ÐCircuit€Court.€€If€you€sign€the€consent€form,€your€writtenÐ Z+ª&1 Ðconsent€form€will€also€be€filed€in€the€Circuit€Court.€€You€haveÐ $,t'2 Ðthe€right€to€be€notified€when€the€petition€is€filed,€about€anyÐ î,>(3 Ðhearings,€if€and€when€the€guardianship€is€granted,€and€when€theÐ ¸-)4 Ðchild€is€adopted.€€You€also€have€the€right€to€be€notified€ifÐ ‚.Ò)5 Ðthere€is€a€delay€in€your€child's€adoption€because:Ð ° ÐÌà  à1.à ` àThe€adoption€agency€does€not€place€your€child€with€anÐ D” Ѐ€€€€€€€€€adoptive€family€within€270€days€of€being€appointed€theÐ ^ Ѐ€€€€€€€€€guardian€of€your€child;Ð Ø( ÐÌà  à2.à ` àThe€adoption€agency€does€not€place€your€child€with€anÐ l ¼ Ѐ€€€€€€€€€adoptive€family€within€180€days€of€the€disruption€of€aÐ 6 † Ѐ€€€€€€€€€prior€adoptive€placement;€orÐ  P ÐÌà  à3.à ` àThe€adoption€is€not€completed€within€2€years€after€yourÐ ” ä  Ѐ€€€€€€€€€child's€placement€with€the€adoptive€family.€Ð ^ ®  ÐÌà  àAny€notices€will€be€sent€to€the€address€given€by€you€on€theÐ òB  Ðconsent€form,€unless€you€write€to€the€Adoption€Clerk€atÐ ¼  Ð_________________________________€(courtððs€address)€and€give€theÐ †Ö  Ðclerk€your€new€address.€€You€may€waive€(give€up)€your€right€toÐ P   Ðnotice€if€you€wish€to€do€so.€€Even€if€you€give€up€your€right€toÐ j  Ðnotice,€someone€from€the€court€may€contact€you€if€furtherÐ ä4 Ðinformation€is€needed.Ð ®þ ÐÌÌò òH.à  àCompensationó óÐ  \ ÐÌà  àUnder€Maryland€law,€you€are€not€allowed€to€charge€or€receiveÐ  ð Ðmoney€or€compensation€of€any€kind€for€the€placement€for€adoptionÐ jº Ðof€your€child€or€for€your€agreement€to€the€adoptive€parent€havingÐ 4„ Ðcustody€of€your€child,€except€that€reasonable€and€customaryÐ þN Ðcharges€or€fees€for€adoption€counseling,€hospital,€legal,€orÐ È Ðmedical€services€may€be€paid.€€Ð ’â ÐÌò òÌI.à  àAccess€to€Birth€and€Adoption€Records€Ð ð@  Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ „Ô" Ðchild's€other€parent,€or€you€may€apply€to€the€Maryland€SecretaryÐ N ž# Ðof€the€Department€of€Health€and€Mental€Hygiene€for€access€toÐ !h$ Ðcertain€birth€and€adoption€records.€€If€you€do€not€wantÐ â!2% Ðinformation€about€you€to€be€disclosed€(given)€to€that€person,€youÐ ¬"ü& Ðhave€the€right€to€prevent€disclosure€by€filing€a€ò òdisclosure€vetoó ó.€Ð v#Æ' ÐAttached€to€this€document€is€a€copy€of€the€form€that€you€may€useÐ @$( Ðif€you€want€to€file€a€disclosure€veto.€Ð  %Z ) Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð Ô%$!* Ðò òÌJ.€€à  àAdoption€Search,€Contact,€and€Reunion€Services€Ð h'¸", Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ ü(L$. Ðchild's€other€parent€or€siblings,€or€you€may€apply€to€theÐ Æ)%/ ÐDirector€of€the€Social€Services€Administration€of€the€MarylandÐ *à%0 ÐDepartment€of€Human€Resources€for€adoption€search,€contact,€andÐ Z+ª&1 Ðreunion€services.€€€€€€€€€€€Ð $,t'2 ÐÌò òÌK.à  àRights€Under€the€Indian€Child€Welfare€ActÐ ‚.Ò)5 Ðó óÌà  àIf€you€or€your€child€are€members€of€or€are€eligible€forÐ zÊ Ðmembership€in€an€Indian€tribe,€as€defined€by€federal€law,€youÐ D” Ðhave€special€legal€rights€under€the€Indian€Child€Welfare€Act.€Ð ^ ÐYou€should€not€sign€this€consent€form€if€you€believe€this€mayÐ Ø( Ðapply€to€you.€€You€should€tell€the€person€requesting€the€consentÐ ¢ò Ðor€the€court€that€you€believe€that€your€child's€case€should€beÐ l ¼ Ðhandled€under€the€Indian€Child€Welfare€Act.Ð 6 † ÐÌÌò òL.€€€Authorization€for€Access€to€Medical€and€Mental€HealthÐ ” ä  ÐRecordsó óÐ ^ ®  ÐÌà  àYou€may€be€asked€to€sign€a€separate€form€(authorization)€toÐ òB  Ðallow€the€adoptive€parents€and€adoption€agency€to€get€yourÐ ¼  Ðchildððs€medical€and€mental€health€records€or€your€medical€andÐ †Ö  Ðmental€health€records.€€If€you€agree€to€allow€access€to€thisÐ P   Ðinformation,€the€records€given€to€the€adoptive€parents€will€notÐ j  Ðinclude€identifying€information€about€you€unless€identifyingÐ ä4 Ðinformation€was€previously€exchanged€by€agreement.Ð ®þ ÐÌÌò òM.€€à  àSignature,€Witness,€and€Copyó ó€€Ð  \ ÐÌà  àIf€you€decide€to€complete€and€sign€the€consent€form,€youÐ  ð Ðmust€have€a€witness€present€when€you€sign€it.€€The€witness€mustÐ jº Ðbe€someone€18€or€older€and€should€not€be€the€child€or€the€childððsÐ 4„ Ðother€parent.€€You€must€complete€and€sign€the€form€with€a€pen€andÐ þN Ðprint€or€type€in€your€name,€address,€and€telephone€number.€€TheÐ È Ðwitness€also€must€sign€the€form€and€print€or€type€in€the€witnessððÐ ’â Ðname,€address,€and€telephone€number€in€the€blanks€on€the€lastÐ \¬ Ðpage.€€Ð &v ÐÌà  àIf€you€have€a€post„adoption€agreement,€you€must€attach€aÐ º ! Ðcopy€to€the€signed€consent€form.Ð „Ô" ÐÌà  àYou€have€the€right€to€receive€a€copy€of€the€signed€consentÐ !h$ Ðform.€€Ð â!2% ÐÌò òÌSTOP€HERE€IF€YOU€DID€NOT€UNDERSTAND€SOMETHING€YOU€HAVE€READ€OR€IFÐ @$( ÐYOU€WANT€TO€SPEAK€WITH€A€LAWYER€BEFORE€YOU€DECIDE€IF€YOU€WANT€TOÐ  %Z ) ÐSIGN€THE€CONSENT€FORM.Ð Ô%$!* Ðó óÌÌò òIf€you€wish€to€sign€the€consent€form,€you€must€also€sign€here€toÐ 2(‚#- Ðverify€that€you€read€these€instructions€and€understand€them:ó óÐ ü(L$. ÐÌÌ____________________________________€€€_________________________Ð Z+ª&1 Ðò ò(Signature)€€€€€€€€€€€€€€€€€€€€€€€€€€€€(Date)Ð $,t'2 ÐÌÌYou€must€attach€a€copy€of€these€signed€instructions€to€the€signedÐ ‚.Ò)5 Ðconsent€form.ó óÐ  ° Ðò òCONSENT€TO€GUARDIANSHIP€WITH€THE€RIGHT€TO€CONSENT€TO€ADOPTION€OFÐ ° ÐÌ_______________________________€TO€____________________________,€Ð D” ÐÌà@ô ô ìàA€LICENSED€PRIVATE€ADOPTION€AGENCYˆÐ Ø( Ðó óÌÌò òUse€a€pen€to€fill€out€this€form.€€You€must€complete€each€section.ó óÐ 6 † ÐÌÌò òA.€€à  àIdentifying€Informationó óÐ ” ä  ЀÌà  à1.€€Language.€€€Ð (x  ÐÌà  à€€€€I€understand€English,€or€this€consent€form€has€beenÐ ¼  ÐÌtranslated€into€_____________________________________,€a€languageÐ P   ÐÌthat€I€understand.Ð ä4 ÐÌà  à2.€€Name.à ¸ àÐ xÈ ÐÌà  à€€€€My€name€is€____________________________________________.€Ð  \ ЀÌà  à3.€€Age.à ¸ àÐ  ð ÐÌà  à€€€€My€date€of€birth€is€___________________________________.€Ð 4„ ÐÌà  à4.€€Child.Ð È ÐÌà  à€€€€The€child€who€is€the€subject€of€this€consent€was€born€onÐ \¬ ÐÌ___________________€€at€_______________________________________€,€Ð ð@  Ѐ€€€€€(date)à ¸ àà  à€€(name€of€hospital€or€address€of€birthplace)Ð º ! ÐÌin€_____________________________________________________________.Ð N ž# Ѐ€€€€€€€€€€€€€€€(city,€state,€and€county€of€birth)€Ð !h$ ÐÌà  à5.€€Status€as€Parent.€€Check€ò òalló ó€that€apply.€Ð ¬"ü& Ѐ€Ð v#Æ' Ðà  àà ` à(a)€€I€amÐ @$( ÐÌà  àà ` à€€€€€[€€]€the€mother€of€the€childÐ Ô%$!* ÐÌà  àà ` à€€€€€[€€]€the€father€of€the€childÐ h'¸", ÐÌà  àà ` à€€€€€[€€]€alleged€to€be€the€father€of€the€childÐ ü(L$. ÐÌÐ  *à%0 Ðà  àà ` à(b)€€I€was€married€to€the€mother€of€the€childÐ ° ÐÌà  àà ` à€€€€€[€€]€at€the€time€of€conception€of€the€childÐ D” ÐÌà  àà ` àà ¸ à[€€]€at€the€time€the€child€was€born.€Ð Ø( ÐÌò òÌB.à  àRight€to€Speak€with€a€LawyerÐ 6 † Ðó óÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð Ê   ÐÌCheck€ò òoneó ó€of€the€following:Ð ^ ®  ÐÌà  à[€€]à ` àI€already€have€spoken€with€a€lawyer€whose€name€andÐ òB  ÐÌ€€€€€€€€€€telephone€number€are€_________________________________.Ð †Ö  ÐÌ€€€€€€€€€€I€have€read€the€instructions€at€the€front€of€this€form,Ð j  ÐÌ€€€€€€€€€€and€I€am€ready€to€consent€to€the€guardianship€with€theÐ ®þ ÐÌ€€€€€€€€€€right€to€consent€to€adoption.Ð B’ ÐÌà  àORÐ Ö& ÐÌà  à[€€]à ` àI€am€at€least€18€years€old€and€am€able€to€understandÐ jº ÐÌ€€€€€€€€€€this€document.€€I€have€read€the€instructions€at€theÐ þN ÐÌ€€€€€€€€€€front€of€this€form,€and€I€do€not€want€to€speak€with€aÐ ’â ÐÌ€€€€€€€€€€lawyer€before€I€consent€to€the€guardianship€with€theÐ &v ÐÌ€€€€€€€€€€right€to€consent€to€adoption.Ð º ! ÐÌÌò òC.€€à  àConsentó óÐ !h$ Ðà  àÌCheck€ò òoneó ó€of€the€following:Ð ¬"ü& ÐÌà  à[€€]à ` àI€voluntarily€and€of€my€own€free€will€consent€to€theÐ @$( ÐÌ€€€€€€€€€€ending€(termination)€of€my€parental€rights€and€to€theÐ Ô%$!* ÐÌ€€€€€€€€€€appointment€of€___________________________,€a€licensedÐ h'¸", ÐÌ€€€€€€€€€€private€adoption€agency,€to€be€the€guardian€of€myÐ ü(L$. ÐÌ€€€€€€€€€€child,€with€the€right€of€the€guardian€to€consent€toÐ *à%0 ÐÌ€€€€€€€€€€adoption.Ð $,t'2 ÐÌ€à0  àOR€Ð¸-)4(#(# ÐÐ ‚.Ò)5 Їà  à[€€]à ` àI€voluntarily€and€of€my€own€free€will€consent€to€theÐ ° ÐÌ€€€€€€€€€€ending€(termination)€of€my€parental€rights€and€to€theÐ D” ÐÌ€€€€€€€€€€appointment€of€___________________________,€a€licensedÐ Ø( ÐÌ€€€€€€€€€€private€adoption€agency,€to€be€the€guardian€of€my€childÐ l ¼ ÐÌ€€€€€€€€€€as€long€as€my€child€is€adopted€by€____________________.€Ð  P ÐÌÌò òD.à  àNoticeó óÐ ^ ®  ÐÌCheck€ò òoneó ó€of€the€following:Ð òB  ÐÌà  à[€€]€I€give€up€(waive)€the€right€to€any€further€notice€ofÐ †Ö  ÐÌ€€€€€€€€€€the€guardianship€case,€any€delays€in€the€adoption€of€myÐ j  ÐÌ€€€€€€€€€€child,€or€when€my€child€is€adopted.Ð ®þ ÐÌà  àORÐ B’ ÐÌà  à[€€]€I€give€up€(waive)€the€right€to€any€further€notice€ofÐ Ö& ÐÌ€€€€€€€€€€the€guardianship€case€or€any€delays€in€the€adoption€ofÐ jº ÐÌ€€€€€€€€€€my€child,€but€I€want€to€be€notified€when€my€child€isÐ þN ÐÌ€€€€€€€€€€adopted.Ð ’â ÐÌà  àORÐ &v ÐÌà  à[€€]à ` àI€want€to€be€notified€about€anything€that€happens€inÐ º ! ÐÌ€€€€€€€€€€the€guardianship€case,€any€delays€in€the€adoption€of€myÐ N ž# ÐÌ€€€€€€€€€€child,€and€when€my€child€is€adopted.Ð â!2% ÐÌò òÌE.à  àRevocation€RightsÐ @$( Ðó óÌà  àI€understand€that€if€I€change€my€mind€and€no€longer€consentÐ Ô%$!* ÐÌto€the€guardianship€with€the€right€to€consent€to€adoption,€I€haveÐ h'¸", ÐÌthe€right€to€revoke€this€consent€ò òwithin€30€days€after€I€signÐ ü(L$. ÐÌthis€consent€formó ó.€€I€understand€that€the€only€way€that€I€canÐ *à%0 ÐÌrevoke€this€consent€is€by€giving€a€ò òsigned€written€revocationó ó€toÐ $,t'2 ÐÌthe€Adoption€Clerk,€Circuit€Court€for€___________________________Ð ¸-)4 ÐÐ ‚.Ò)5 Ðat______________________________________________________________.Ð ° ÐÌÌò òF.€€€Effect€of€this€Consentó óÐ ^ ÐÌò òà  àI€UNDERSTAND€THAT€IF€I€SIGN€THIS€CONSENT€FORM,€ANDÐ ¢ò ÐÌGUARDIANSHIP€IS€GRANTED,€I€WILL€BE€GIVING€UP€ALL€RIGHTS€ANDÐ 6 † ÐÌRESPONSIBILITIES€RELATING€TO€THE€CHILD,€EXCEPT€THOSE€RIGHTS€THATÐ Ê   ÐÌI€HAVE€KEPT€UNDER€ANY€WRITTEN€POST„ADOPTION€AGREEMENT.Ð ^ ®  ÐÌÌG.€€€Oath€and€SignatureÐ ¼  Ðó óÌà  àI€have€read€carefully€and€understand€the€instructions€at€theÐ P   ÐÌfront€of€this€consent€form.€€I€am€signing€this€consent€formÐ ä4 ÐÌvoluntarily€and€of€my€own€free€will.€Ð xÈ ÐÌÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ Ö& ÐÌcontents€of€this€consent€form€are€true€to€the€best€of€my€Ð jº ÐÌknowledge,€information,€and€belief.€€Ð þN ÐÌ___________________________à À à________________________________Ð ’â Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð \¬ ÐÌÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð º ! Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð „Ô" ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð !h$ Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð â!2% ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð v#Æ' Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð @$( ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð Ô%$!* Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð ž&î!+ ÐÌÌÌWitness:Ð Æ)%/ ÐÌÌ______________________________€€€€€€€€€€€_______________________Ð $,t'2 Ð(Signature)à ¸ àà  àà h àà À àà  àà p à€(Date)Ð î,>(3 ÐÌ______________________________Ð ‚.Ò)5 Ð(Printed€Name)Ð ° ÐÌ________________________________Ð D” Ð(Address)Ð ^ ÐÌ______________________________Ð ¢ò Ð(City,€State,€Zip€Code)Ð l ¼ ÐÌ_________________________________Ð  P Ð(Telephone€Number)Ð Ê   ÐÌò òÌA€COPY€OF€THE€INSTRUCTIONS€WITH€YOUR€SIGNATURE€MUST€BE€ATTACHEDÐ (x  ÐTO€THIS€CONSENT€FORM.ó óÐ òB  Ðò òÌIF€YOU€HAVE€A€POST„ADOPTION€AGREEMENT,€ATTACH€A€COPY€TO€THISÐ †Ö  ÐCONSENT€FORM.Ð P   Ðó óÌÌÌÌÌÐ   \ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.3,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâ£#ÔÔ‡XbâXXXb$ÔÌÌForm€9„102.3.€€CONSENT€OF€PARENT€TO€A€PUBLIC€AGENCY€ADOPTIONÐ (x  ÐÌWITHOUT€PRIOR€TERMINATION€OF€PARENTAL€RIGHTSÐ ¼  Ðò òÌÌÌà@   ìàCONSENT€OF€PARENT€TO€ADOPTION€OF€___________________________€ˆÐ ä4 ÐÌà@   ìàAdoption€of€CINA€without€Prior€Termination€of€Parental€RightsˆÐ xÈ Ðó óÌÌà@$ìàòòò òINSTRUCTIONSó óˆÐ Ö& ÐóóÌà  àò òó óòòThese€instructions€and€attached€consent€form€may€be€usedÐ jº Ðonly€in€cases€where€the€child€is€a€Child€in€Need€of€AssistanceÐ 4„ Ðò òandó ó€the€petitioner€is€seeking€to€adopt€the€child€ò òwithoutó ó€priorÐ þN Ðtermination€of€parental€rights.€€Code,€Family€Law€Article,€TitleÐ È Ð5,€Subtitle€3,€Part€III.Ð ’â Ðò òóóó óÌÌà  àò òThe€attached€consent€form€is€an€important€legal€document.€Ð ð@  ÐYou€must€read€all€of€these€instructions€BEFORE€you€sign€theÐ º ! Ðconsent€form.€€If€you€do€not€understand€the€instructions€or€theÐ „Ô" Ðconsent€form,€you€should€not€sign€it.€If€you€are€under€18€yearsÐ N ž# Ðold€or€if€you€have€a€disability€that€makes€it€difficult€for€youÐ !h$ Ðto€understand,€do€not€sign€the€consent€form€unless€you€have€aÐ â!2% Ðlawyer.Ð ¬"ü& Ðó óÌÌò òA.€€€Right€to€Have€This€Information€in€a€Language€You€UnderstandÐ  %Z ) Ðó óÌà  àò òó óYou€have€the€right€to€have€these€instructions€and€theÐ ž&î!+ Ðconsent€form€translated€into€a€language€that€you€understand.€€IfÐ h'¸", Ðyou€cannot€read€or€understand€English,€you€should€not€sign€theÐ 2(‚#- Ðconsent€form.€€You€should€have€this€form€translated€for€you€intoÐ ü(L$. Ða€language€you€do€understand.€€The€translated€consent€form€is€theÐ Æ)%/ Ðone€you€should€read€and€decide€whether€or€not€to€sign.€€AnyÐ *à%0 Ðtranslation€must€have€an€affidavit€attached€in€which€theÐ Z+ª&1 Ðtranslator€states€that€it€is€a€true€and€accurate€translation€ofÐ $,t'2 Ðthis€document.Ð î,>(3 ÐÌò òó óÐ ‚.Ò)5 Ðò òB.€€€Right€to€Speak€with€a€Lawyer€ó óÐ ° ÐÌà  àò òó óYou€have€the€right€to€speak€with€a€lawyer€before€you€decideÐ D” Ðwhether€or€not€to€consent.€€If€you€are€unable€to€afford€a€lawyer,Ð ^ Ðyou€may€be€eligible€for€a€lawyer€through€the€Office€of€the€PublicÐ Ø( ÐDefender.€€You€should€contact€the€Office€of€the€Public€Defender,Ð ¢ò Ðand€ask€for€a€lawyer€to€represent€you€in€a€D.S.S.€(Department€ofÐ l ¼ ÐSocial€Services)€case.Ð 6 † ÐÌà  àYou€should€not€sign€the€consent€form€without€a€lawyer€if€youÐ Ê   Ðare€under€18€years€old€or€have€a€disability€that€makes€itÐ ” ä  Ðdifficult€for€you€to€understand€this€document.€€If€you€are€underÐ ^ ®  Ð18€years€old€or€have€a€disability€that€makes€it€difficult€for€youÐ (x  Ðto€understand€this€document,€you€are€required€to€have€a€lawyerÐ òB  Ðreview€the€form€with€you€before€you€can€consent€to€the€adoption.€Ð ¼  ÐYou€should€contact€the€Office€of€the€Public€Defender,€or€let€theÐ †Ö  ÐJuvenile€Court€know€you€need€to€have€a€lawyer€appointed€for€you.Ð P   ÐÌà  àEven€if€you€do€not€have€the€right€to€have€the€court€appointÐ ä4 Ða€lawyer€for€you€or€to€be€represented€through€the€Office€of€theÐ ®þ ÐPublic€Defender,€you€have€the€right€to€speak€with€a€lawyer€youÐ xÈ Ðchoose€before€you€decide€whether€to€consent.Ð B’ ÐÌò òÌC.€€€Right€to€Adoption€CounselingÐ  ð Ðó óÌà  àYou€have€the€right€to€receive€adoption€counseling€andÐ 4„ Ðguidance.€€The€court€may€require€D.S.S.€or€the€adoptive€parentsÐ þN Ðto€pay€for€the€adoption€counseling€and€guidance€but€does€not€haveÐ È Ðto€do€so.€€If€you€want€adoption€counseling€or€guidance,€youÐ ’â Ðshould€not€complete€this€consent€form€until€after€you€have€gottenÐ \¬ Ðadoption€counseling€or€guidance.€Ð &v Ðò òÌÌD.€€€Post„adoption€AgreementÐ „Ô" Ðó óÌà  àIf€you€have€made€a€written€agreement€with€the€adoptiveÐ !h$ Ðparents€for€future€contact€(known€as€a€post„adoption€agreement),Ð â!2% Ða€copy€of€that€agreement€must€be€attached€to€the€signed€consentÐ ¬"ü& Ðform.€€If€you€have€a€post„adoption€agreement,€and,€after€theÐ v#Æ' Ðadoption,€the€adoptive€parents€do€not€do€what€they€agreed€to€do,Ð @$( Ðit€will€not€affect€the€adoption€or€your€consent€to€the€adoption.€Ð  %Z ) ÐHowever,€if€that€happens,€you€have€the€right€to€ask€a€judge€toÐ Ô%$!* Ðmake€them€do€what€they€agreed€to€do.€€The€judge€can€order€you€andÐ ž&î!+ Ðthe€adoptive€parents€to€go€to€mediation,€order€the€adoptiveÐ h'¸", Ðparents€to€do€what€they€agreed€to€do,€or€change€the€agreement€ifÐ 2(‚#- Ðthe€judge€decides€that€it€is€in€the€childððs€best€interest.Ð ü(L$. ÐÌò òÌE.€à  àEffect€of€Signing€the€Consent€Formà p àÐ Z+ª&1 Ðó óÌò òà  àIF€YOU€SIGN€THE€CONSENT€FORM,€AND€ADOPTION€IS€GRANTED,€YOUÐ î,>(3 ÐWILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIES€RELATING€TO€THEÐ ¸-)4 ÐCHILD.€ó ó€If€you€have€a€post„adoption€agreement,€you€will€keep€onlyÐ ‚.Ò)5 Ðthe€rights€the€agreement€gives€you.€€Violation€of€the€agreementÐ ° Ðwill€not€affect€your€consent€or€the€adoption.Ð zÊ ÐÌò òÌF.à  àRight€to€Revoke€ConsentÐ Ø( Ðó óÌà  àIf€you€sign€the€consent€form€and€then€change€your€mind€andÐ l ¼ Ðno€longer€want€to€consent,€you€have€the€right€to€revoke€(cancel)Ð 6 † Ðthe€consent.€€If€the€adoption€case€is€already€filed€in€court,€youÐ  P Ðmust€revoke€your€consent€ò òwithin€30€days€after€the€date€that€youÐ Ê   Ðsign€the€consent€formó ó.€€If€the€adoption€case€has€not€been€filedÐ ” ä  Ðin€court,€you€must€revoke€your€consent€ò òwithin€30€days€after€theÐ ^ ®  Ðadoption€petition€is€filedó ó.€€The€only€way€that€you€can€revokeÐ (x  Ðthis€consent€is€by€giving€a€ò òsigned€written€revocation€statementó óÐ òB  Ðwith€the€name,€sex,€and€date€of€birth€of€the€child€(if€you€knowÐ ¼  Ðit)€to:€€Ð †Ö  ÐÌJuvenile€Clerk,€Circuit€Court€for€___________________________€at€Ð j  ÐÌà  à________________________________________€(Address).Ð ®þ ÐÌÌà  àThe€revocation€must€be€sent€to€the€court,€not€to€your€socialÐ  \ Ðworker,€lawyer,€or€the€people€adopting€the€child.€€You€mayÐ Ö& Ðdeliver€your€written€revocation€of€consent€in€person€or€by€mail.€Ð  ð ÐIf€it€is€not€ò òreceivedó ó€by€the€Juvenile€Clerkððs€office€within€theÐ jº Ðlater€of€30€days€after€the€date€you€sign€the€consent€form€or€30Ð 4„ Ðdays€after€the€date€the€adoption€petition€is€filed,€it€will€beÐ þN Ðtoo€late,€and€you€will€not€be€able€to€withdraw€the€consent€orÐ È Ðstop€the€adoption€from€being€granted.Ð ’â ÐÌò òÌG.à  àFurther€Notice€of€Adoption€Proceedings€Ð ð@  Ðó óÌà  àA€petition€for€adoption€has€been€or€will€be€filed€in€theÐ „Ô" ÐCircuit€Court€for€_____________________________.€€If€you€sign€theÐ N ž# Ðconsent€form,€your€written€consent€will€also€be€filed€in€theÐ !h$ Ðcourt.€€You€have€the€right€to€be€notified€when€the€petition€isÐ â!2% Ðfiled,€when€any€hearings€are€held€before€the€adoption€is€granted,Ð ¬"ü& Ðand€if€and€when€the€adoption€is€granted.€€Any€notices€will€beÐ v#Æ' Ðsent€to€the€address€given€by€you€on€the€consent€form,€unless€youÐ @$( Ðwrite€to€the€Juvenile€Clerk€at€_________________________________Ð  %Z ) Ð(courtððs€address)€and€give€the€clerk€your€new€address.€€You€mayÐ Ô%$!* Ðwaive€(give€up)€your€right€to€notice€if€you€wish€to€do€so.€€EvenÐ ž&î!+ Ðif€you€give€up€your€right€to€notice,€someone€from€the€court€mayÐ h'¸", Ðcontact€you€if€further€information€is€needed.Ð 2(‚#- ÐÌÌò òH.à  àCompensationó óÐ *à%0 ÐÌà  àUnder€Maryland€law,€you€are€not€allowed€to€charge€or€receiveÐ $,t'2 Ðmoney€or€compensation€of€any€kind€for€the€placement€for€adoptionÐ î,>(3 Ðof€your€child€or€for€your€agreement€to€the€adoptive€parent€havingÐ ¸-)4 Ðcustody€of€your€child,€except€that€reasonable€and€customaryÐ ‚.Ò)5 Ðcharges€or€fees€for€adoption€counseling,€hospital,€legal,€orÐ ° Ðmedical€services€may€be€paid.€€Ð zÊ ÐÌò òÌI.à  àAccess€to€Birth€and€Adoption€Records€Ð Ø( Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ l ¼ Ðchild's€other€parent,€or€you€may€apply€to€the€Maryland€SecretaryÐ 6 † Ðof€the€Department€of€Health€and€Mental€Hygiene€for€access€toÐ  P Ðcertain€birth€and€adoption€records.€€If€you€do€not€wantÐ Ê   Ðinformation€about€you€to€be€disclosed€(given)€to€that€person,€youÐ ” ä  Ðhave€the€right€to€prevent€disclosure€by€filing€a€ò òdisclosure€vetoó ó.€Ð ^ ®  ÐAttached€to€this€document€is€a€copy€of€the€form€that€you€may€useÐ (x  Ðif€you€want€to€file€a€disclosure€veto.€Ð òB  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð ¼  Ðò òJ.€€à  àAdoption€Search,€Contact€and€Reunion€Services€Ð †Ö  Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ j  Ðchild's€other€parent€or€siblings,€or€you€may€apply€to€theÐ ä4 ÐDirector€of€the€Social€Services€Administration€of€the€MarylandÐ ®þ ÐDepartment€of€Human€Resources€for€adoption€search,€contact,€andÐ xÈ Ðreunion€services.€€€€€€€€€€€Ð B’ ÐÌò òÌK.à  àRights€under€the€Indian€Child€Welfare€ActÐ  ð Ðó óÌà  àIf€you€or€your€child€are€members€of€or€are€eligible€forÐ 4„ Ðmembership€in€an€Indian€tribe,€as€defined€by€federal€law,€youÐ þN Ðhave€special€legal€rights€under€the€Indian€Child€Welfare€Act.€Ð È ÐYou€should€not€sign€this€consent€form€if€you€believe€this€mayÐ ’â Ðapply€to€you.€€You€should€tell€the€person€requesting€the€consentÐ \¬ Ðor€the€court€that€you€believe€that€your€child's€case€should€beÐ &v Ðhandled€under€the€Indian€Child€Welfare€Act.Ð ð@  ÐÌò òÌÐ  N ž# ÐL.€€€Authorization€for€Access€to€Medical€and€Mental€HealthÐ ° ÐRecordsó óÐ zÊ ÐÌà  àYou€may€be€asked€to€sign€a€separate€form€(authorization)€toÐ ^ Ðallow€the€adoptive€parents€to€get€your€childððs€medical€and€mentalÐ Ø( Ðhealth€records€or€your€medical€and€mental€health€records.€€If€youÐ ¢ò Ðagree€to€allow€access€to€this€information,€the€records€given€toÐ l ¼ Ðthe€adoptive€parents€will€not€include€identifying€informationÐ 6 † Ðabout€you€unless€identifying€information€was€previously€exchangedÐ  P Ðby€agreement.Ð Ê   ÐÌÌò òM.€€à  àSignature,€Witness,€and€Copyó ó€€Ð (x  ÐÌà  àIf€you€decide€to€complete€and€sign€the€consent€form,€youÐ ¼  Ðmust€have€a€witness€present€when€you€sign€it.€€The€witness€mustÐ †Ö  Ðbe€someone€18€or€older€and€should€not€be€the€child€or€the€childððsÐ P   Ðother€parent.€€You€must€complete€and€sign€the€form€with€a€pen€andÐ j  Ðprint€or€type€in€your€name,€address,€and€telephone€number.€€TheÐ ä4 Ðwitness€also€must€sign€the€form€and€print€or€type€in€the€witnessððÐ ®þ Ðname,€address,€and€telephone€number€in€the€blanks€on€the€lastÐ xÈ Ðpage.€€Ð B’ ÐÌIf€you€have€a€post„adoption€agreement,€you€must€attach€a€copy€toÐ Ö& Ðthe€signed€consent€form.Ð  ð ÐÌYou€have€the€right€to€receive€a€copy€of€the€signed€consent€form.€€Ð 4„ Ðò òÌÌSTOP€HERE€IF€YOU€DID€NOT€UNDERSTAND€SOMETHING€YOU€HAVE€READ€OR€IFÐ ’â ÐYOU€WANT€TO€SPEAK€WITH€A€LAWYER€OR€GET€ADOPTION€COUNSELING€BEFOREÐ \¬ ÐYOU€DECIDE€IF€YOU€WANT€TO€SIGN€THE€CONSENT€FORM.Ð &v ÐÌÌIf€you€wish€to€sign€the€consent€form,€you€must€also€sign€here€toÐ „Ô" Ðverify€that€you€read€these€instructions€and€understood€them:Ð N ž# ÐÌ___________________________________€€€__________________________Ð â!2% Ð(Signature)€€€€€€€€€€€€€€€€€€€€€€€€€€€(Date)Ð ¬"ü& ÐÌÌYou€must€attach€a€copy€of€these€signed€instructions€to€the€signedÐ  %Z ) Ðconsent€form.ó óÐ Ô%$!* Ðò òÌÌÌÌÌÌÌà@ÌÌìàCONSENT€OF€PARENT€TO€ADOPTION€OF€______________________€ˆÐ $,t'2 ÐÌà@   ìàAdoption€of€CINA€without€PRIOR€Termination€of€Parental€RightsˆÐ ¸-)4 Ðó óÐ ‚.Ò)5 Ðò òó óÌò òUse€a€pen€to€fill€out€this€form.€€You€must€complete€each€section.Ð zÊ ÐÌÌA.€€€Identifying€Informationó óÐ Ø( ЀÌà  à1.€€Language.€€€Ð l ¼ ÐÌà  à€€€€I€understand€English,€or€this€consent€form€has€beenÐ  P ÐÌtranslated€into€_____________________________________,€a€languageÐ ” ä  ÐÌthat€I€understand.Ð (x  ÐÌà  à2.€€Name.à ¸ àÐ ¼  ÐÌà  à€€€€My€name€is€____________________________________________.€Ð P   ЀÌà  à3.€€Age.à ¸ àÐ ä4 ÐÌà  à€€€€My€date€of€birth€is€___________________________________.€Ð xÈ ÐÌà  à4.€€Child.à  àÐ  \ ÐÌà  à€€€€The€child€who€is€the€subject€of€this€consent€was€born€on€Ð  ð ÐÌ_________________€€at€_________________________________________€,€Ð 4„ Ѐ€€à  à(date)à ¸ àà  à€(name€of€hospital€or€address€of€birthplace)€Ð þN ÐÌin€____________________________________________________________€.Ð ’â Ѐ€€€€€€€€€€€€€€€(city,€state,€and€county€of€birth)€Ð \¬ ÐÌà  à5.€€Status€as€Parent.€€Check€ò òalló ó€that€apply.€Ð ð@  ÐÌà  àà ` à(a)€€I€amÐ „Ô" ÐÌà  àà ` àà ¸ à[€€]€the€mother€of€the€childÐ !h$ ÐÌà  àà ` àà ¸ à[€€]€the€father€of€the€childÐ ¬"ü& ÐÌà  àà ` àà ¸ à[€€]€alleged€to€be€the€father€of€the€childÐ @$( ÐÌà  àà ` à(b)€€I€was€married€to€the€mother€of€the€childÐ Ô%$!* ÐÌà  àà ` àà ¸ à[€€]€at€the€time€of€conception€of€the€childÐ h'¸", ÐÌà  àà ` àà ¸ à[€€]€at€the€time€the€child€was€born.€Ð ü(L$. ÐÌò òÌB.€€€Right€to€Speak€with€a€LawyerÐ Z+ª&1 Ðó óÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð î,>(3 ÐÌCheck€ò òoneó ó€of€the€following:Ð ‚.Ò)5 Їà  à[€€]à ` àI€already€have€spoken€with€a€lawyer€whose€name€andÐ ° ÐÌ€€€€€€€€€€telephone€number€are€_________________________________Ð D” ÐÌ€€€€€€€€€€______________________________________________________.€Ð Ø( ÐÌ€€€€€€€€€€I€have€read€the€instructions€at€the€front€of€this€form,Ð l ¼ ÐÌ€€€€€€€€€€and€I€am€ready€to€consent€to€the€adoption.Ð  P ÐÌà  àORÐ ” ä  ÐÌà  à[€€]à ` àI€am€at€least€18€years€old€and€am€able€to€understandÐ (x  ÐÌ€€€€€€€€€€this€document.€€I€have€read€the€instructions€at€theÐ ¼  ÐÌ€€€€€€€€€€front€of€this€form,€and€I€do€not€want€to€speak€with€aÐ P   ÐÌ€€€€€€€€€€lawyer€before€I€consent€to€the€adoption.Ð ä4 ÐÌÌò òC.€€€Right€to€Counseling€and€Guidanceó óÐ B’ ÐÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð Ö& ÐÌCheck€ò òoneó ó€of€the€following:Ð jº ÐÌà  à[€€]€I€have€already€spoken€with€a€counselor.€€I€have€readÐ þN ÐÌ€€€€€€€€€€the€instructions€at€the€front€of€this€form,€and€I€amÐ ’â ÐÌ€€€€€€€€€€ready€to€consent€to€the€adoption.Ð &v ÐÌ€€€€ORÐ º ! ÐÌà  à[€€]€I€do€not€want€to€speak€with€a€counselor.€€I€have€readÐ N ž# ÐÌ€€€€€€€€€€the€instructions€at€the€front€of€this€form,€and€I€amÐ â!2% ÐÌ€€€€€€€€€€ready€to€consent€to€the€adoption.Ð v#Æ' ÐÌò òD.€€€ConsentÐ  %Z ) Ðó óÌà  àI€voluntarily€and€of€my€own€free€will€consent€to€the€endingÐ ž&î!+ ÐÌ(termination)€of€my€rights€as€parent€to€and€to€the€adoption€of€myÐ 2(‚#- ÐÌchild,€______________________________,€by€a€person(s)€known€to€meÐ Æ)%/ ÐÌas€_____________________________________________________________.€Ð Z+ª&1 ÐÌò òÌE.€€€NoticeÐ ¸-)4 Ðó óÐ ‚.Ò)5 ÐCheck€ò òoneó ó€of€the€following:Ð ° ÐÌà  à[€€]€I€give€up€(waive)€the€right€to€any€further€notice€ofÐ D” ÐÌ€€€€€€€€€€the€adoption€case.Ð Ø( ÐÌà  àORÐ l ¼ ÐÌà  à[€€]€I€want€to€be€notified€when€the€adoption€case€is€filed,Ð  P ÐÌ€€€€€€€€€€of€any€hearings,€and€if€and€when€my€child€is€adopted.Ð ” ä  ÐÌÌò òF.€€€Revocation€Rightsó óÐ òB  ÐÌà  àI€understand€that€if€I€change€my€mind€and€no€longer€consentÐ †Ö  ÐÌto€the€adoption,€I€have€the€right€to€revoke€this€consent€ò òwithinÐ j  ÐÌthe€later€of€30€days€after€I€sign€this€form€or€30€days€after€theÐ ®þ ÐÌadoption€case€is€filed€in€courtó ó.€€I€understand€that€the€only€wayÐ B’ ÐÌthat€I€can€revoke€this€consent€is€by€giving€a€ò òsigned€writtenÐ Ö& ÐÌrevocation€statementó ó€to€the€Juvenile€Clerk,€Circuit€Court€forÐ jº ÐÌ__________________________€at€__________________________________.Ð þN ÐÌò òÌG.€€€Effect€of€this€ConsentÐ \¬ Ѐó óÐ &v Ðò òà  àI€UNDERSTAND€THAT€IF€I€SIGN€THIS€CONSENT€FORM,€AND€ADOPTIONÐ ð@  ÐÌIS€GRANTED,€I€WILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIES€Ð „Ô" ÐÌRELATING€TO€THE€CHILD,€EXCEPT€THOSE€RIGHTS€THAT€I€HAVE€KEPT€UNDERÐ !h$ ÐÌANY€WRITTEN€POST„ADOPTION€AGREEMENT.Ð ¬"ü& ÐÌÌH.€€€Oath€and€SignatureÐ  %Z ) Ðó óÌà  àI€have€read€carefully€and€understand€the€instructions€inÐ ž&î!+ ÐÌfront€of€this€consent€form.€€I€am€signing€this€consent€formÐ 2(‚#- ÐÌvoluntarily€and€of€my€own€free€will.€Ð Æ)%/ ÐÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ Z+ª&1 ÐÌcontents€of€this€consent€form€are€true€to€the€best€of€myÐ î,>(3 ÐÌknowledge,€information,€and€belief.€€Ð ‚.Ò)5 ЇÌÌ___________________________à À à________________________________Ð D” Ð(Date)à ` àà ¸ àà  àà h àà0 À à(Signature)Ð^À(#À(# ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ¢ò Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð l ¼ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð  P Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð Ê   ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ^ ®  Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð (x  ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð ¼  Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð †Ö  ÐÌÌWitness:Ð ä4 ÐÌÌ________________________________à  àà p à________________________Ð B’ Ð(Signature)à ¸ àà  àà h àà À àà  àà p à(Date)Ð  \ ÐÌ________________________________Ð  ð Ð(Printed€Name)Ð jº ÐÌ________________________________Ð þN Ð(Address)Ð È ÐÌÐ  \¬ Ð________________________________Ð ° Ð(City,€State,€Zip€Code)Ð zÊ ÐÌ_________________________________Ð ^ Ð(Telephone€Number)Ð Ø( ÐÌÌÌò òA€COPY€OF€THE€INSTRUCTIONS€WITH€YOUR€SIGNATURE€MUST€BE€ATTACHEDÐ  P ÐTO€THIS€CONSENT€FORM.Ð Ê   Ðó óÌÌò òIF€YOU€HAVE€A€POST„ADOPTION€AGREEMENT,€ATTACH€A€COPY€TO€THISÐ (x  ÐCONSENT€FORM.€Ð òB  Ðó óÌÌÌÌÌ€ÌÐ  xÈ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.4,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâ‡#ÔÔ‡XbâXXXb$ÔÌÌÌForm€9„102.4.€€CONSENT€OF€PARENT€TO€AN€INDEPENDENT€ADOPTION€WITHÐ òB  ÐÌTERMINATION€OF€PARENTAL€RIGHTSÐ †Ö  ÐÌÌÌò òà@dd ìàCONSENT€OF€PARENT€TO€ADOPTION€OF€____________________________€ˆÐ ®þ ÐÌà@ÌÌìàIndependent€Adoption€with€Termination€of€Parental€Rightsó óˆÐ B’ ÐÌÌà@$ìàòòò òINSTRUCTIONSó óˆÐ  ð ÐóóÌòòà  àThese€instructions€and€attached€consent€form€may€be€usedÐ 4„ Ðonly€in€independent€adoptions,€not€those€that€are€arranged€by€anÐ þN Ðadoption€agency.€This€form€should€only€be€used€for€a€parent€whoseÐ È Ðparental€rights€are€being€terminated.€€It€should€not€be€used€forÐ ’â Ða€parent€who€is€retaining€parental€rights,€for€example,€aÐ \¬ Ðcustodial€parent€in€a€step„parent€adoption.€€Code,€Family€LawÐ &v ÐArticle,€Title€5,€Subtitle€3B.Ð ð@  ÐóóÌÌà  àò òThe€attached€consent€form€is€an€important€legal€document.€Ð N ž# ÐYou€must€read€all€of€these€instructions€BEFORE€you€sign€theÐ !h$ Ðconsent€form.€€If€you€do€not€understand€the€instructions€or€theÐ â!2% Ðconsent€form,€you€should€not€sign€it.€If€you€are€under€18€yearsÐ ¬"ü& Ðold€or€if€you€have€a€disability€that€makes€it€difficult€for€youÐ v#Æ' Ðto€understand,€do€not€sign€the€consent€form€unless€you€have€aÐ @$( Ðlawyer.Ð  %Z ) Ðó óÌò òÌA.€€€Right€to€Have€This€Information€in€a€Language€You€Understandó óÐ h'¸", ÐÌà  àYou€have€the€right€to€have€these€instructions€and€theÐ ü(L$. Ðconsent€form€translated€into€a€language€that€you€understand.€€IfÐ Æ)%/ Ðyou€cannot€read€or€understand€English,€you€should€not€sign€theÐ *à%0 Ðconsent€form.€€You€should€have€this€form€translated€for€you€intoÐ Z+ª&1 Ða€language€you€do€understand.€€The€translated€consent€form€is€theÐ $,t'2 Ðone€you€should€read€and€decide€whether€or€not€to€sign.€€AnyÐ î,>(3 Ðtranslation€must€have€an€affidavit€attached€in€which€theÐ ¸-)4 Ðtranslator€states€that€it€is€a€true€and€accurate€translation€ofÐ ‚.Ò)5 Ðthis€document.Ð ° ÐÌò òÌB.€€€Right€to€Speak€with€a€Lawyer€Ð ^ Ðó óÌà  àYou€have€the€right€to€speak€with€a€lawyer€before€you€decideÐ ¢ò Ðwhether€or€not€to€consent.Ð l ¼ ÐÌà  àYou€should€not€sign€the€consent€form€without€a€lawyer€if€youÐ  P Ðare€under€18€years€old€or€have€a€disability€that€makes€itÐ Ê   Ðdifficult€for€you€to€understand€this€document.€€If€you€are€underÐ ” ä  Ð18€years€old€or€have€a€disability€that€makes€it€difficult€for€youÐ ^ ®  Ðto€understand€this€document,€you€are€required€to€have€a€lawyerÐ (x  Ðreview€the€form€with€you€before€you€can€consent€to€the€adoption.€€Ð òB  ÐÌà  àEven€if€you€are€not€required€to€have€a€lawyer,€you€have€theÐ †Ö  Ðright€to€speak€with€a€lawyer€you€choose€before€you€decide€whetherÐ P   Ðto€consent.€Ð j  ÐÌà  àYou€can€ask€the€court€to€require€the€people€adopting€yourÐ ®þ Ðchild€to€pay€the€costs€of€the€lawyer.€€The€judge€does€not€have€toÐ xÈ Ðgrant€that€request€but€may€do€so.Ð B’ ÐÌò òÌC.€€€Right€to€Adoption€CounselingÐ  ð Ðó óÌà  àYou€have€the€right€to€receive€adoption€counseling€andÐ 4„ Ðguidance.€€The€court€may€require€the€adoptive€parents€to€pay€forÐ þN Ðthe€adoption€counseling€and€guidance€but€does€not€have€to€do€so.€Ð È ÐIf€you€want€adoption€counseling€or€guidance,€you€should€notÐ ’â Ðcomplete€this€consent€form€until€after€you€have€gotten€adoptionÐ \¬ Ðcounseling€or€guidance.Ð &v Ðò òÌÌD.€€€Post„adoption€AgreementÐ „Ô" Ðó óÌà  àIf€you€have€made€a€written€agreement€with€the€adoptiveÐ !h$ Ðparents€for€future€contact€(known€as€a€post„adoption€agreement),Ð â!2% Ða€copy€of€that€agreement€must€be€attached€to€the€signed€consentÐ ¬"ü& Ðform.€€If€you€have€a€post„adoption€agreement,€and,€after€theÐ v#Æ' Ðadoption,€the€adoptive€parents€do€not€do€what€they€agreed€to€do,Ð @$( Ðit€will€not€affect€the€adoption€or€your€consent€to€the€adoption.€Ð  %Z ) ÐHowever,€if€that€happens,€you€have€the€right€to€ask€a€judge€toÐ Ô%$!* Ðmake€them€do€what€they€agreed€to€do.€€The€judge€can€order€you€andÐ ž&î!+ Ðthe€adoptive€parents€to€go€to€mediation,€order€the€adoptiveÐ h'¸", Ðparents€to€do€what€they€agreed€to€do,€or€change€the€agreement€ifÐ 2(‚#- Ðthe€judge€decides€that€it€is€in€the€childððs€best€interest.Ð ü(L$. ÐÌò òÌE.€€€Effect€of€Signing€the€Consent€FormÐ Z+ª&1 Ðó óÌò òà  àIF€YOU€SIGN€THE€CONSENT€FORM,€AND€ADOPTION€IS€GRANTED,€YOUÐ î,>(3 ÐWILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIES€RELATING€TO€THEÐ ¸-)4 ÐCHILD.€ó ó€If€you€have€a€post„adoption€agreement,€you€will€keep€onlyÐ ‚.Ò)5 Ðthe€rights€the€agreement€gives€you.€€Violation€of€the€agreementÐ ° Ðwill€not€affect€your€consent€or€the€adoption.Ð zÊ ÐÌò òÌF.€€€Right€to€Revoke€ConsentÐ Ø( Ðó óÌà  àIf€you€sign€the€consent€form€and€then€change€your€mind€andÐ l ¼ Ðno€longer€want€to€consent,€you€have€the€right€to€revoke€(cancel)Ð 6 † Ðthe€consent€ò òwithin€30€days€after€the€date€that€you€sign€theÐ  P Ðconsent€formó ó.€€The€only€way€that€you€can€revoke€this€consent€isÐ Ê   Ðby€giving€a€ò òsigned€written€revocation€statementó ó€with€the€name,Ð ” ä  Ðsex,€and€date€of€birth€of€the€child€(if€you€know€it)€to:€€Ð ^ ®  ÐÌà  àà ` àÌà0  àà ° àAdoption€Clerk,€Circuit€Court€for€___________________________,€at€Ð¼ (#(# ÐÌà  à__________________________________________________(Address).Ð P   ÐÌÌà  àThe€revocation€must€be€sent€to€the€court,€not€to€the€lawyersÐ ®þ Ðor€the€people€adopting€the€child.€€You€may€deliver€your€writtenÐ xÈ Ðrevocation€of€consent€in€person€or€by€mail.€€If€it€is€notÐ B’ Ðò òreceivedó ó€by€the€Adoption€Clerkððs€office€within€30€days€after€theÐ  \ Ðdate€you€signed€the€consent€form,€it€will€be€too€late,€and€youÐ Ö& Ðwill€not€be€able€to€withdraw€the€consent€or€stop€the€adoptionÐ  ð Ðfrom€being€granted.Ð jº ÐÌà  àIf€you€sign€this€consent€form,€and€then€revoke€your€consent,Ð þN Ðand€then€decide€to€consent€to€the€adoption€again,€you€will€not€beÐ È Ðable€to€revoke€your€second€consent€if€you€give€your€secondÐ ’â Ðconsent€in€court€within€one€year€of€your€revocation€of€thisÐ \¬ Ðconsent.Ð &v ÐÌò òÌG.€€€Further€Notice€of€Adoption€Proceedings€Ð „Ô" Ðó óÌà  àA€petition€for€adoption€has€been€or€will€be€filed€in€theÐ !h$ ÐCircuit€Court€for€_________________________.€€If€you€sign€theÐ â!2% Ðconsent€form,€your€written€consent€will€also€be€filed€in€theÐ ¬"ü& Ðcourt.€€You€have€the€right€to€be€notified€when€the€petition€isÐ v#Æ' Ðfiled,€when€any€hearings€are€held€before€the€adoption€is€granted,Ð @$( Ðand€if€and€when€the€adoption€is€granted.€€Any€notices€will€beÐ  %Z ) Ðsent€to€the€address€given€by€you€on€the€consent€form,€unless€youÐ Ô%$!* Ðwrite€to€the€Adoption€Clerk€at€_________________________________Ð ž&î!+ Ð(courtððs€address)€and€give€the€clerk€your€new€address.€€You€mayÐ h'¸", Ðwaive€(give€up)€your€right€to€notice€if€you€wish€to€do€so.€€EvenÐ 2(‚#- Ðif€you€give€up€your€right€to€notice,€someone€from€the€court€mayÐ ü(L$. Ðcontact€you€if€further€information€is€needed.Ð Æ)%/ ÐÌÌò òH.€€€Compensationó óÐ $,t'2 ÐÌà  àUnder€Maryland€law,€you€are€not€allowed€to€charge€or€receiveÐ ¸-)4 Ðmoney€or€compensation€of€any€kind€for€the€placement€for€adoptionÐ ‚.Ò)5 Ðof€your€child€or€for€your€agreement€to€the€adoptive€parent€havingÐ ° Ðcustody€of€your€child,€except€that€reasonable€and€customaryÐ zÊ Ðcharges€or€fees€for€adoption€counseling,€hospital,€legal,€orÐ D” Ðmedical€services€may€be€paid.€€Ð ^ ÐÌò òÌI.€€€Access€to€Birth€and€Adoption€Records€Ð l ¼ Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ  P Ðchild's€other€parent,€or€you€may€apply€to€the€Maryland€SecretaryÐ Ê   Ðof€the€Department€of€Health€and€Mental€Hygiene€for€access€toÐ ” ä  Ðcertain€birth€and€adoption€records.€€If€you€do€not€wantÐ ^ ®  Ðinformation€about€you€to€be€disclosed€(given)€to€that€person,€youÐ (x  Ðhave€the€right€to€prevent€disclosure€by€filing€a€ò òdisclosure€vetoó ó.€Ð òB  ÐAttached€to€this€document€is€a€copy€of€the€form€that€you€may€useÐ ¼  Ðif€you€want€to€file€a€disclosure€veto.€Ð †Ö  Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð P   Ðò òÌJ.€€€Adoption€Search,€Contact,€and€Reunion€Services€Ð ä4 Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ xÈ Ðchild's€other€parent€or€siblings,€or€you€may€apply€to€theÐ B’ ÐDirector€of€the€Social€Services€Administration€of€the€MarylandÐ  \ ÐDepartment€of€Human€Resources€for€adoption€search,€contact,€andÐ Ö& Ðreunion€services.€€€€€€€€€€€Ð  ð ÐÌò òÌK.€€€Rights€under€the€Indian€Child€Welfare€ActÐ þN Ðó óÌà  àIf€you€or€your€child€are€members€of€or€are€eligible€forÐ ’â Ðmembership€in€an€Indian€tribe,€as€defined€by€federal€law,€youÐ \¬ Ðhave€special€legal€rights€under€the€Indian€Child€Welfare€Act.€Ð &v ÐYou€should€not€sign€this€consent€form€if€you€believe€this€mayÐ ð@  Ðapply€to€you.€€You€should€tell€the€person€requesting€the€consentÐ º ! Ðor€the€court€that€you€believe€that€your€child's€case€should€beÐ „Ô" Ðhandled€under€the€Indian€Child€Welfare€Act.Ð N ž# ÐÌò òL.€€€Authorization€for€Access€to€Medical€and€Mental€HealthÐ â!2% ÐRecordsó óÐ ¬"ü& ÐÌà  àYou€may€be€asked€to€sign€a€separate€form€(authorization)€toÐ @$( Ðallow€the€adoptive€parents€to€get€your€childððs€medical€and€mentalÐ  %Z ) Ðhealth€records€or€your€medical€and€mental€health€records.€€If€youÐ Ô%$!* Ðagree€to€allow€access€to€this€information,€the€records€given€toÐ ž&î!+ Ðthe€adoptive€parents€will€not€include€identifying€informationÐ h'¸", Ðabout€you€unless€identifying€information€was€previously€exchangedÐ 2(‚#- Ðby€agreement.Ð ü(L$. ÐÌÌò òM.€€à  àSignature,€Witness,€and€Copy€€Ð Z+ª&1 Ðó óÌà  àIf€you€decide€to€complete€and€sign€the€consent€form,€youÐ î,>(3 Ðmust€have€a€witness€present€when€you€sign€it.€€The€witness€mustÐ ¸-)4 Ðbe€someone€18€or€older€and€should€not€be€the€child€or€the€childððsÐ ‚.Ò)5 Ðother€parent.€€You€must€complete€and€sign€the€form€with€a€pen€andÐ ° Ðprint€or€type€in€your€name,€address,€and€telephone€number.€€TheÐ zÊ Ðwitness€also€must€sign€the€form€and€print€or€type€in€the€witnessððÐ D” Ðname,€address,€and€telephone€number€in€the€blanks€on€the€lastÐ ^ Ðpage.€€Ð Ø( ÐÌà  àIf€you€have€a€post„adoption€agreement,€you€must€attach€aÐ l ¼ Ðcopy€to€the€signed€consent€form.Ð 6 † ÐÌà  àYou€have€the€right€to€receive€a€copy€of€the€signed€consentÐ Ê   Ðform.€€Ð ” ä  ÐÌò òÌSTOP€HERE€IF€YOU€DID€NOT€UNDERSTAND€SOMETHING€YOU€HAVE€READ€OR€IFÐ òB  ÐYOU€WANT€TO€SPEAK€WITH€A€LAWYER€OR€GET€ADOPTION€COUNSELING€BEFOREÐ ¼  ÐYOU€DECIDE€IF€YOU€WANT€TO€SIGN€THE€CONSENT€FORM.Ð †Ö  Ðó óÌÌò òIf€you€wish€to€sign€the€consent€form,€you€must€also€sign€here€toÐ ä4 Ðverify€that€you€read€these€instructions€and€understand€them:ó óÐ ®þ ÐÌÌÌ_________________________________€€€____________________________Ð Ö& Ðò ò(Signature)€€€€€€€€€€€€€€€€€€€€€€€€€(Dateó ó)Ð  ð ÐÌò òÌYou€must€attach€a€copy€of€these€signed€instructions€to€the€signedÐ þN Ðconsent€form.ó óÐ È ÐÐ  ’â Ðò òà@¸ ¸ ìàCONSENT€TO€INDEPENDENT€ADOPTION€OF€ˆÐ ° ÐÌà@œ œ ìà____________________________________________ˆÐ D” ÐÌà@¸ ¸ ìàWITH€TERMINATION€OF€PARENTAL€RIGHTSˆÐ Ø( Ðó ó€Ð ¢ò ÐÌò òUse€a€pen€to€fill€out€this€form.€€You€must€complete€each€section.ó óÐ 6 † ÐÌò òÌA.€€€Identifying€Informationó óÐ ” ä  ЀÌà  à1.€€Language.€€€Ð (x  ÐÌà  à€€€€I€understand€English,€or€this€consent€form€has€beenÐ ¼  ÐÌtranslated€into€______________________________________________,€aÐ P   ÐÌlanguage€that€I€understand.Ð ä4 ÐÌà  à2.€€Name.à ¸ àÐ xÈ ÐÌà  à€€€€My€name€is€____________________________________________.€Ð  \ ЀÌà  à3.€€Age.à ¸ àÐ  ð ÐÌà  à€€€€My€date€of€birth€is€___________________________________.€Ð 4„ ÐÌà  à4.€€Child.à  àÐ È ÐÌà  à€€€€The€child€who€is€the€subject€of€this€consent€was€born€on€Ð \¬ ÐÌ__________________€at€__________________________________________,Ð ð@  Ѐ€€€€€(date)à ¸ à€€€€€€€(name€of€hospital€or€address€of€birthplace)Ð º ! ÐÌin€____________________________________________________________€.Ð N ž# Ѐ€€€€€€€€€€€€€€€(city,€state,€and€county€of€birth)€Ð !h$ ÐÌà  à5.€€Status€as€Parent.€€Check€ò òalló ó€that€apply.€Ð ¬"ü& Ѐ€Ð v#Æ' Ðà  àà ` à(a)€€I€amÐ @$( ÐÌà  àà ` àà ¸ à[€€]€the€mother€of€the€childÐ Ô%$!* ÐÌà  àà ` àà ¸ à[€€]€the€father€of€the€childÐ h'¸", ÐÌà  àà ` àà ¸ à[€€]€alleged€to€be€the€father€of€the€childÐ ü(L$. ÐÌÐ  *à%0 Ðà  àà ` à(b)€€I€was€married€to€the€mother€of€the€childÐ ° ÐÌà  àà ` àà ¸ à[€€]€at€the€time€of€conception€of€the€childÐ D” ÐÌà  àà ` àà ¸ à[€€]€at€the€time€the€child€was€born.€Ð Ø( ÐÌò òÌB.€€€Right€to€Speak€with€a€LawyerÐ 6 † Ðó óÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð Ê   ÐÌCheck€ò òoneó ó€of€the€following:Ð ^ ®  ÐÌà  à[€€]à ` àI€already€have€spoken€with€a€lawyer€whose€name€andÐ òB  ÐÌ€€€€€€€€€€telephone€number€are€_________________________________Ð †Ö  ÐÌ___________________________________________________________.€IÐ j  ÐÌhave€read€the€instructions€at€the€front€of€this€form,€and€I€am€Ð ®þ ÐÌready€to€consent€to€the€adoption.Ð B’ ÐÌà  àORÐ Ö& ÐÌà  à[€€]à ` àI€am€at€least€18€years€old€and€am€able€to€understandÐ jº ÐÌ€€€€€€€€€€this€document.€€I€have€read€the€instructions€at€theÐ þN ÐÌ€€€€€€€€€€front€of€this€form,€and€I€do€not€want€to€speak€with€aÐ ’â ÐÌ€€€€€€€€€€lawyer€before€I€consent€to€the€adoption.Ð &v ÐÌÌò òC.€€€Right€to€Counseling€and€Guidanceó óÐ „Ô" ÐÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð !h$ ÐÌCheck€ò òoneó ó€of€the€following:Ð ¬"ü& ÐÌà  à[€€]€I€have€already€spoken€with€a€counselor.€€I€have€readÐ @$( ÐÌ€€€€€€€€€€the€instructions€at€the€front€of€this€form,€and€I€amÐ Ô%$!* ÐÌ€€€€€€€€€€ready€to€consent€to€the€adoption.Ð h'¸", ÐÌ€€€€ORÐ ü(L$. ÐÌà  à[€€]€I€do€not€want€to€speak€with€a€counselor.€€I€have€readÐ *à%0 ÐÌ€€€€€€€€€€the€instructions€at€the€front€of€this€form,€and€I€amÐ $,t'2 ÐÌ€€€€€€€€€€ready€to€consent€to€the€adoption.Ð ¸-)4 ÐÐ ‚.Ò)5 Ðò òÌD.€€€ConsentÐ zÊ Ðó óà  àÌà  àI€voluntarily€and€of€my€own€free€will€consent€to€the€endingÐ ^ ÐÌ(termination)€of€my€rights€as€parent€to€and€to€the€adoption€of€myÐ ¢ò ÐÌchild,€____________________________________________,€by€person(s)Ð 6 † ÐÌknown€to€me€as€_________________________________________________.Ð Ê   ÐÌI€also€agree€that€such€person(s)€shall€have€temporary€custody€ofÐ ^ ®  ÐÌthe€child€until€the€completion€of€the€adoption.€€Ð òB  Ðò òÌÌE.€€€NoticeÐ P   Ðó óÌCheck€ò òoneó ó€of€the€following:Ð ä4 ÐÌà  à[€€]€I€give€up€(waive)€the€right€to€any€further€notice€ofÐ xÈ ÐÌ€€€€€€€€€€the€adoption€case.Ð  \ ÐÌà  àORÐ  ð ÐÌà  à[€€]€I€want€to€be€notified€when€the€adoption€case€is€filed,Ð 4„ ÐÌ€€€€€€€€€€of€any€hearings€and€if€and€when€my€child€is€adopted.Ð È ÐÌò òÌF.€€€Revocation€RightsÐ &v Ðó óÌà  àI€understand€that€if€I€change€my€mind€and€no€longer€consentÐ º ! ÐÌto€the€adoption,€I€have€the€right€to€revoke€this€consent€ò òwithinÐ N ž# ÐÌ30€days€after€the€date€that€I€signed€this€consent€formó ó.€€I€Ð â!2% ÐÌunderstand€that€the€only€way€that€I€can€revoke€this€consent€is€byÐ v#Æ' ÐÌgiving€a€ò òsigned€written€revocationó ó€to€the€Adoption€Clerk,€CircuitÐ  %Z ) ÐÌCourt€for€___________________________________________________€atÐ ž&î!+ ÐÌ_______________________________________________________________.Ð 2(‚#- ÐÌò òG.€€€Effect€of€this€Consentó óÐ Æ)%/ ЀÌò òà  àI€UNDERSTAND€THAT€IF€I€SIGN€THIS€CONSENT€FORM,€AND€ADOPTIONÐ Z+ª&1 ÐÌIS€GRANTED,€I€WILL€BE€GIVING€UP€ALL€RIGHTS€AND€RESPONSIBILITIES€Ð î,>(3 ÐÌRELATING€TO€THE€CHILD,€EXCEPT€THOSE€RIGHTS€THAT€I€HAVE€KEPT€UNDER€Ð ‚.Ò)5 ЇANY€WRITTEN€POST„ADOPTION€AGREEMENT.Ð ° ÐÌÌH.à  àOath€and€SignatureÐ ^ Ðó óÌà  àI€have€read€carefully€and€understand€the€instructions€in€Ð ¢ò ÐÌfront€of€this€consent€form.€€I€am€signing€this€consent€form€Ð 6 † ÐÌvoluntarily€and€of€my€own€free€will.€Ð Ê   ÐÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€the€Ð ^ ®  ÐÌcontents€of€this€consent€form€are€true€to€the€best€of€my€Ð òB  ÐÌknowledge,€information,€and€belief.€€Ð †Ö  ÐÌÌ___________________________à À à________________________________Ð ä4 Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð ®þ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð B’ Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð  \ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð  ð Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð jº ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð þN Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð È ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð \¬ Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð &v ÐÌWitness:Ð º ! ÐÌÌ________________________________à  àà0 p à________________________Ð!h$p(#p(# Ð(Signature)à ¸ àà  àà h àà À àà  àà p à(Date)Ð â!2% ÐÌ________________________________Ð v#Æ' Ð(Printed€Name)Ð @$( ÐÌ________________________________Ð Ô%$!* Ð(Address)Ð ž&î!+ ÐÌ________________________________Ð 2(‚#- Ð(City,€State,€Zip€Code)Ð ü(L$. ÐÌ________________________________Ð *à%0 Ð(Telephone€Number)Ð Z+ª&1 Ðò òÌÌA€COPY€OF€THE€INSTRUCTIONS€WITH€YOUR€SIGNATURE€MUST€BE€ATTACHEDÐ ¸-)4 ÐTO€THIS€CONSENT.ó óÐ ‚.Ò)5 Ðò òÌÌIF€YOU€HAVE€A€POST„ADOPTION€AGREEMENT,€ATTACH€A€COPY€TO€THISÐ D” ÐCONSENT€FORM.Ð ^ Ðó óÌÌÌÌÌÐ  Ê   Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.5,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâX#ÔÔ‡XbâXXXb$ÔÌÌForm€9„102.5.€€CONSENT€OF€PARENT€TO€AN€INDEPENDENT€ADOPTIONÐ (x  ÐÌWITHOUT€TERMINATION€OF€PARENTAL€RIGHTSÐ ¼  ÐÌÌÌà@ ìàò òCONSENT€OF€PARENT€TO€ADOPTION€OF€__________________________ˆÐ ä4 ÐÌà@ ìàIndependent€Adoption€without€Termination€of€Parental€RightsˆÐ xÈ ÐÌÌà@$ìàòòINSTRUCTIONSóóó óˆÐ Ö& ÐÌòòà  àThese€instructions€and€attached€consent€form€may€be€usedÐ jº Ðonly€in€independent€adoptions,€not€those€that€are€arranged€by€anÐ 4„ Ðadoption€agency.€€This€form€should€only€be€used€for€a€parentÐ þN Ðwhose€parental€rights€are€not€being€terminated.€€It€should€beÐ È Ðused€for€a€parent€who€is€retaining€parental€rights,€for€example,Ð ’â Ða€custodial€parent€in€a€step-parent€adoption.€€Code,€Family€LawÐ \¬ ÐArticle,€Title€5,€Subtitle€3B.Ð &v ÐóóÌÌò òà  àThe€attached€consent€form€is€an€important€legal€document.€Ð „Ô" ÐYou€must€read€all€of€these€instructions€BEFORE€you€sign€theÐ N ž# Ðconsent€form.€€If€you€do€not€understand€the€instructions€or€theÐ !h$ Ðconsent€form,€you€should€not€sign€it.€If€you€are€under€18€Ð â!2% Ðyears€old€or€if€you€have€a€disability€that€makes€it€difficult€forÐ ¬"ü& Ðyou€to€understand,€do€not€sign€the€consent€form€unless€you€have€aÐ v#Æ' Ðlawyer.Ð @$( ÐÌÌA.€€€Right€to€Have€This€Information€in€a€Language€You€UnderstandÐ ž&î!+ Ðó óÌà  àYou€have€the€right€to€have€these€instructions€and€theÐ 2(‚#- Ðconsent€form€translated€into€a€language€that€you€understand.€€IfÐ ü(L$. Ðyou€cannot€read€or€understand€English,€you€should€not€sign€theÐ Æ)%/ Ðconsent€form.€€You€should€have€this€form€translated€for€you€intoÐ *à%0 Ða€language€you€do€understand.€€The€translated€consent€form€is€theÐ Z+ª&1 Ðone€you€should€read€and€decide€whether€or€not€to€sign.€€AnyÐ $,t'2 Ðtranslation€must€have€an€affidavit€attached€in€which€theÐ î,>(3 Ðtranslator€states€that€it€is€a€true€and€accurate€translation€ofÐ ¸-)4 Ðthis€document.Ð ‚.Ò)5 ЇÌò òB.€€€Right€to€Speak€with€a€Lawyer€Ð zÊ Ðó óÌà  àYou€have€the€right€to€speak€with€a€lawyer€before€you€decideÐ ^ Ðwhether€or€not€to€consent.Ð Ø( ÐÌà  àYou€should€not€sign€the€consent€form€without€a€lawyer€if€youÐ l ¼ Ðare€under€18€years€old€or€have€a€disability€that€makes€itÐ 6 † Ðdifficult€for€you€to€understand€this€document.€€If€you€are€Ð  P Ðunder€18€years€old€or€have€a€disability€that€makes€it€difficultÐ Ê   Ðfor€you€to€understand€this€document,€you€are€required€to€have€aÐ ” ä  Ðlawyer€review€the€form€with€you€before€you€can€consent€to€theÐ ^ ®  Ðadoption.€€Ð (x  ÐÌà  àEven€if€you€are€not€required€to€have€a€lawyer,€you€have€theÐ ¼  Ðright€to€speak€with€a€lawyer€you€choose€before€you€decide€whetherÐ †Ö  Ðto€consent.€Ð P   ÐÌÌò òC.€€€Right€to€Adoption€CounselingÐ ®þ Ðó óÌà  àYou€have€the€right€to€receive€adoption€counseling€andÐ B’ Ðguidance.€€If€you€want€adoption€counseling€or€guidance,€youÐ  \ Ðshould€not€complete€this€consent€form€until€after€you€have€Ð Ö& Ðgotten€adoption€counseling€or€guidance.Ð  ð ÐÌò òÌD.€€€Effect€of€Signing€the€Consent€FormÐ þN Ðó óÌò òIF€YOU€SIGN€THE€CONSENT€FORM,€YOU€WILL€NOT€BE€GIVING€UP€ANYÐ ’â ÐRIGHTS€OR€RESPONSIBILITIES€RELATING€TO€THE€CHILD.€€ó óÐ \¬ ÐÌÌò òE.€€€Right€to€Revoke€ConsentÐ º ! Ðó óÌà  àIf€you€sign€the€consent€form€and€then€change€your€mind€andÐ N ž# Ðno€longer€want€to€consent,€you€have€the€right€to€revoke€(cancel)Ð !h$ Ðthe€consent€ò òwithin€30€days€after€the€date€that€you€sign€theÐ â!2% Ðconsent€formó ó.€€The€only€way€that€you€can€revoke€this€consent€isÐ ¬"ü& Ðby€giving€a€ò òsigned€written€revocation€statementó ó€with€the€name,Ð v#Æ' Ðsex,€and€date€of€birth€of€the€child€(if€you€know€it)€to:€€Ð @$( Ðà  àà ` àÌÐ  Ô%$!* ÐAdoption€Clerk,€Circuit€Court€for€__________________________,€atÐ ° ÐÌ_____________________________________________________(Address).Ð D” ÐÌÌà  àThe€revocation€must€be€sent€to€the€court,€not€to€the€lawyersÐ ¢ò Ðor€the€people€adopting€the€child.€€You€may€deliver€your€writtenÐ l ¼ Ðrevocation€of€consent€in€person€or€by€mail.€€If€it€is€notÐ 6 † Ðò òreceivedó ó€by€the€Adoption€Clerk's€office€within€30€days€after€theÐ  P Ðdate€you€signed€the€consent€form,€it€will€be€too€late,€and€youÐ Ê   Ðwill€not€be€able€to€withdraw€the€consent€or€stop€the€adoptionÐ ” ä  Ðfrom€being€granted.Ð ^ ®  ÐÌà  àIf€you€sign€this€consent€form,€and€then€revoke€your€consent,Ð òB  Ðand€then€decide€to€consent€to€the€adoption€again,€you€will€not€beÐ ¼  Ðable€to€revoke€your€second€consent€if€you€give€your€secondÐ †Ö  Ðconsent€in€court€within€one€year€of€your€revocation€of€thisÐ P   Ðconsent.Ð j  ÐÌÌò òG.à  àFurther€Notice€of€Adoption€Proceedingsó ó€Ð xÈ ÐÌà  àA€petition€for€adoption€has€been€or€will€be€filed€in€theÐ  \ ÐCircuit€Court€for€_________________________________.€€If€you€signÐ Ö& Ðthe€consent€form,€your€written€consent€will€also€be€filed€in€theÐ  ð Ðcourt.€€You€have€the€right€to€be€notified€when€the€petition€isÐ jº Ðfiled,€when€any€hearings€are€held€before€the€adoption€is€granted,Ð 4„ Ðand€if€and€when€the€adoption€is€granted.€€Any€notices€will€beÐ þN Ðsent€to€the€address€given€by€you€on€the€consent€form,€unless€youÐ È Ðwrite€to€the€Adoption€Clerk€at€________________________________Ð ’â Ð(court's€address)€and€give€the€clerk€your€new€address.€€You€mayÐ \¬ Ðwaive€(give€up)€your€right€to€notice€if€you€wish€to€do€so.€€EvenÐ &v Ðif€you€give€up€your€right€to€notice,€someone€from€the€court€may€Ð ð@  Ðcontact€you€if€further€information€is€needed.Ð º ! ÐÌÌò òH.€€€Compensationó óÐ !h$ ÐÌà  àUnder€Maryland€law,€you€are€not€allowed€to€charge€or€receiveÐ ¬"ü& Ðmoney€or€compensation€of€any€kind€for€the€placement€for€adoptionÐ v#Æ' Ðof€your€child€or€for€your€agreement€to€the€adoptive€parent€havingÐ @$( Ðcustody€of€your€child,€except€that€reasonable€and€customary€Ð  %Z ) Ðcharges€or€fees€for€adoption€counseling,€hospital,€legal,€orÐ Ô%$!* Ðmedical€services€may€be€paid.€€Ð ž&î!+ ÐÌÌò òI.€€€Access€to€Birth€and€Adoption€Records€Ð ü(L$. Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ *à%0 Ðchild's€other€parent,€or€you€may€apply€to€the€Maryland€SecretaryÐ Z+ª&1 Ðof€the€Department€of€Health€and€Mental€Hygiene€for€access€toÐ $,t'2 Ðcertain€birth€and€adoption€records.€€If€you€do€not€wantÐ î,>(3 Ðinformation€about€you€to€be€disclosed€(given)€to€that€person,€youÐ ¸-)4 Ðhave€the€right€to€prevent€disclosure€by€filing€a€ò òdisclosure€vetoó ó.€Ð ‚.Ò)5 ÐAttached€to€this€document€is€a€copy€of€the€form€that€you€may€useÐ ° Ðif€you€want€to€file€a€disclosure€veto.€Ð zÊ Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ð D” ÐÌò òJ.€€€Adoption€Search,€Contact,€and€Reunion€Services€Ð Ø( Ðó óÌà  àWhen€your€child€is€at€least€21€years€old,€your€child,€yourÐ l ¼ Ðchild's€other€parent€or€siblings,€or€you€may€apply€to€theÐ 6 † ÐDirector€of€the€Social€Services€Administration€of€the€Maryland€Ð  P ÐDepartment€of€Human€Resources€for€adoption€search,€contact,€andÐ Ê   Ðreunion€services.Ð ” ä  ÐÌÌò òK.€€€Rights€under€the€Indian€Child€Welfare€ActÐ òB  Ðó óÌà  àIf€you€or€your€child€are€members€of€or€are€eligible€forÐ †Ö  Ðmembership€in€an€Indian€tribe,€as€defined€by€federal€law,€youÐ P   Ðhave€special€legal€rights€under€the€Indian€Child€Welfare€Act.€€Ð j  ÐYou€should€not€sign€this€consent€form€if€you€believe€this€mayÐ ä4 Ðapply€to€you.€€You€should€tell€the€person€requesting€the€consentÐ ®þ Ðor€the€court€that€you€believe€that€your€child's€case€should€beÐ xÈ Ðhandled€under€the€Indian€Child€Welfare€Act.Ð B’ ÐÌÌò òL.€€€Signature,€Witness,€and€Copyó 󀀀Р ð ÐÌà  àIf€you€decide€to€complete€and€sign€the€consent€form,€youÐ 4„ Ðmust€have€a€witness€present€when€you€sign€it.€€The€witness€mustÐ þN Ðbe€someone€18€or€older€and€should€not€be€the€child€or€the€child's€Ð È Ðother€parent.€€You€must€complete€and€sign€the€form€with€a€pen€andÐ ’â Ðprint€or€type€in€your€name,€address,€and€telephone€number.€€TheÐ \¬ Ðwitness€also€must€sign€the€form€and€print€or€type€in€the€witness'Ð &v Ðname,€address,€and€telephone€number€in€the€blanks€on€the€lastÐ ð@  Ðpage.€€Ð º ! ÐÌà  àIf€you€have€a€post-adoption€agreement,€you€must€attach€aÐ N ž# Ðcopy€to€the€signed€consent€form.Ð !h$ ÐÌà  àYou€have€the€right€to€receive€a€copy€of€the€signed€consentÐ ¬"ü& Ðform.€€Ð v#Æ' ÐÌò òÌSTOP€HERE€IF€YOU€DID€NOT€UNDERSTAND€SOMETHING€YOU€HAVE€READ€OR€IFÐ Ô%$!* ÐYOU€WANT€TO€SPEAK€WITH€A€LAWYER€OR€GET€ADOPTION€COUNSELING€BEFORE€Ð ž&î!+ ÐYOU€DECIDE€IF€YOU€WANT€TO€SIGN€THE€CONSENT€FORM.Ð h'¸", Ðó óÌÌò òIf€you€wish€to€sign€the€consent€form,€you€must€also€sign€here€toÐ Æ)%/ Ðverify€that€you€read€these€instructions€and€understand€them:Ð *à%0 ÐÌÌó ó__________________________________€€€___________________________Ð î,>(3 Ðò ò(Signature)€€€€€€€€€€€€€€€€€€€€€€€€€€(Date)Ð ¸-)4 ÐÐ ‚.Ò)5 ÐYou€must€attach€a€copy€of€these€signed€instructions€to€the€signedÐ ° Ðconsent€form.ó óÐ zÊ ÐÌÌÐ  Ø( Ðà@¨ ¨ ìàò òCONSENT€TO€INDEPENDENT€ADOPTIONˆÐ ° ÐÌà@  ìàWITHOUT€TERMINATION€OF€PARENTAL€RIGHTSˆÐ D” ÐÌÌUse€a€pen€to€fill€out€this€form.€€You€must€complete€each€section.Ð ¢ò ÐÌÌA.€€€Identifying€Informationó óÐ  P ЀÌà  à1.€€Language.€€€Ð ” ä  ÐÌà  à€€€€I€understand€English,€or€this€consent€form€has€beenÐ (x  ÐÌtranslated€into€_____________________________________,€a€languageÐ ¼  ÐÌthat€I€understand.Ð P   ÐÌà  à2.€€Name.à ¸ àÐ ä4 ÐÌà  à€€€€My€name€is€____________________________________________.€Ð xÈ ЀÌà  à3.€€Age.à ¸ àÐ  \ ÐÌà  à€€€€My€date€of€birth€is€___________________________________.€Ð  ð ÐÌà  à4.€€Child.à  àÐ 4„ ÐÌà  à€€€€The€child€who€is€the€subject€of€this€consent€was€born€onÐ È ÐÌ_________________€€at€_________________________________________€,€Ð \¬ Ѐ€€€€€€€€€€€€€€€€€€€€€(name€of€hospital€or€address€of€birthplace)€Ð &v ÐÌin€_____________________________________________________________.Ð º ! Ѐ€€€€€€€€€€€€€€€(city,€state,€and€county€of€birth)€Ð „Ô" ÐÌà  à5.€€Status€as€Parent.€€Check€all€that€apply.€Ð !h$ Ѐ€Ð â!2% Ðà  àà ` à(a)€€I€amÐ ¬"ü& ÐÌà  àà ` à€€€€€[€€]€the€mother€of€the€childÐ @$( ÐÌà  àà ` àà ¸ à[€€]€the€father€of€the€childÐ Ô%$!* ÐÌà  àà ` àà ¸ à[€€]€alleged€to€be€the€father€of€the€childÐ h'¸", ÐÌà  àà ` à(b)€€I€was€married€to€the€mother€of€the€childÐ ü(L$. ÐÌà  àà ` àà ¸ à[€€]€at€the€time€of€conception€of€the€childÐ *à%0 ÐÌà  àà ` àà ¸ à[€€]€at€the€time€the€child€was€born.€Ð $,t'2 ÐÌÌò òB.€€€Right€to€Speak€with€a€Lawyeró óÐ ‚.Ò)5 ЇI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð ° ÐÌCheck€ò òoneó ó€of€the€following:Ð D” ÐÌà  à[€€]à ` àI€already€have€spoken€with€a€lawyer€whose€name€andÐ Ø( ÐÌ€€€€€€€€€€telephone€number€are€________________________________Ð l ¼ ÐÌ€€€€€€€€€€__________________________________________________.€I€Ð  P ÐÌ€€€€€€€€€€have€read€the€instructions€at€the€front€of€this€form,Ð ” ä  ÐÌ€€€€€€€€€€and€I€am€ready€to€consent€to€the€adoption.Ð (x  ÐÌà  àORÐ ¼  ÐÌà  à[€€]à ` àI€am€at€least€18€years€old€and€am€able€to€understandÐ P   ÐÌ€€€€€€€€€€this€document.€€I€have€read€the€instructions€at€theÐ ä4 ÐÌ€€€€€€€€€€front€of€this€form,€and€I€do€not€want€to€speak€with€aÐ xÈ ÐÌ€€€€€€€€€€lawyer€before€I€consent€to€the€adoption.Ð  \ ÐÌÌò òC.€€à  àRight€to€Counseling€and€Guidanceó óÐ jº ÐÌI€WANT€TO€COMPLETE€THIS€CONSENT€FORM€BECAUSE:Ð þN ÐÌCheck€ò òoneó ó€of€the€following:Ð ’â ÐÌà  à[€€]€I€have€already€spoken€with€a€counselor.€€I€have€readÐ &v ÐÌ€€€€€€€€€€the€instructions€at€the€front€of€this€form,€and€I€amÐ º ! ÐÌ€€€€€€€€€€ready€to€consent€to€the€adoption.Ð N ž# ÐÌà  àORÐ â!2% ÐÌà  à[€€]€I€do€not€want€to€speak€with€a€counselor.€€I€have€readÐ v#Æ' ÐÌ€€€€€€€€€€the€instructions€at€the€front€of€this€form,€and€I€amÐ  %Z ) ÐÌ€€€€€€€€€€ready€to€consent€to€the€adoption.Ð ž&î!+ ÐÌÌò òD.€€€Consentó óÐ ü(L$. Ðà  àÌà  àI€voluntarily€and€of€my€own€free€will€consent€to€theÐ *à%0 ÐÌadoption€of€my€child,€______________________________________,€byÐ $,t'2 ÐÌ______________________________________________________________.€€Ð ¸-)4 ÐÐ ‚.Ò)5 Їò òE.à  àNoticeó óÐ ° ÐÌCheck€ò òoneó ó€of€the€following:Ð D” ÐÌà  à[€€]€I€give€up€(waive)€the€right€to€any€further€notice€ofÐ Ø( ÐÌ€€€€€€€€€€the€adoption€case.Ð l ¼ ÐÌà  àORÐ  P ÐÌà  à[€€]€I€want€to€be€notified€when€the€adoption€case€is€filed,Ð ” ä  ÐÌ€€€€€€€€€€of€any€hearings,€and€if€and€when€my€child€is€adopted.Ð (x  ÐÌÌò òF.à  àRevocation€Rightsó óÐ †Ö  ÐÌà  àI€understand€that€if€I€change€my€mind€and€no€longer€consentÐ j  ÐÌto€the€adoption,€I€have€the€right€to€revoke€this€consent€ò òwithinÐ ®þ ÐÌ30€days€after€the€date€that€I€signed€this€consent€formó ó.€€I€Ð B’ ÐÌunderstand€that€the€only€way€that€I€can€revoke€this€consent€is€byÐ Ö& ÐÌgiving€a€signed€written€revocation€statement€to€the€AdoptionÐ jº ÐÌClerk,€Circuit€Court€for€____________________________________€atÐ þN ÐÌ______________________________________________________________.Ð ’â ÐÌÌò òG.€€€Effect€of€this€Consentó óÐ ð@  ЀÌò òà  àI€UNDERSTAND€THAT€IF€I€SIGN€THIS€CONSENT€FORM,€I€WILL€NOT€BEÐ „Ô" ÐÌGIVING€UP€ANY€RIGHTS€AND€RESPONSIBILITIES€RELATING€TO€THE€CHILD.Ð !h$ Ðó óÌÌò òÐ  v#Æ' ÐH.€€€Oath€and€SignatureÐ ° Ðó óÌà  àI€have€read€carefully€and€understand€the€instructions€at€theÐ D” ÐÌfront€of€this€consent€form.€€I€am€signing€this€consent€form€Ð Ø( ÐÌvoluntarily€and€of€my€own€free€will.€Ð l ¼ ÐÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ  P ÐÌcontents€of€this€consent€form€are€true€to€the€best€of€myÐ ” ä  ÐÌknowledge,€information,€and€belief.€€Ð (x  ÐÌÌ___________________________à À à________________________________Ð †Ö  Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð P   ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ä4 Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð ®þ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð B’ Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð  \ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð  ð Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð jº ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð þN Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð È ÐÌWitness:Ð \¬ ÐÌ______________________________à  àà p à________________________Ð ð@  Ð(Signature)à ¸ àà  àà h àà À àà  àà p à(Date)Ð º ! ÐÌ________________________________Ð N ž# Ð(Printed€Name)Ð !h$ ÐÌ________________________________Ð ¬"ü& Ð(Address)Ð v#Æ' ÐÌ________________________________Ð  %Z ) Ð(City,€State,€Zip€Code)Ð Ô%$!* ÐÌ_________________________________Ð h'¸", Ð(Telephone€Number)Ð 2(‚#- ÐÌÌò òA€COPY€OF€THE€INSTRUCTIONS€WITH€YOUR€SIGNATURE€MUST€BE€ATTACHEDÐ *à%0 ÐTO€THE€CONSENT€FORM.ó óÐ  Z+ª&1 Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.6,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâ:®#ÔÔ‡XbâXXXb$ÔÌÌForm€9„102.6.€€CONSENT€OF€CHILD€TO€A€PUBLIC€AGENCY€ADOPTION€ORÐ (x  ÐÌPRIVATE€AGENCY€ADOPTIONÐ ¼  ÐÌÌÌà@€€ìàò òCONSENT€OF€______________________________€TO€ADOPTIONˆÐ ä4 Ѐ€€€€€€€€€€€€€€€€€€€€€€€(Name€of€Child)Ð ®þ Ðó óÌÌà@$ìàòòò òINSTRUCTIONSó óóóˆÐ  \ ÐòòÌà  àThis€consent€form€may€be€completed€only€after€being€reviewedÐ  ð Ðwith€an€attorney€and€should€be€completed€only€by€a€child€who€isÐ jº Ðin€the€custody€of€or€under€the€guardianship€of€the€Department€ofÐ 4„ ÐSocial€Services€or€under€the€guardianship€of€a€private€child€Ð þN Ðplacement€agency.€€Code,€Family€Law€Article,€Title€5,€Subtitle€3Ð È Ðor€3A.óóÐ ’â ÐÌÌà  à1.€€I€understand€English,€or€this€consent€form€has€beenÐ ð@  ÐÌtranslated€into€________________________________,€a€language€thatÐ „Ô" ÐÌI€understand.Ð !h$ ÐÌà  à2.€€My€name€is€___________________________________________.€Ð ¬"ü& ЀÌà  à3.€€My€date€of€birth€is€___________________________.€€I€am€Ð @$( ÐÌ_____€years€old.Ð Ô%$!* ÐÌà  à4.€€I€understand€that€_________________________________€have€Ð h'¸", ÐÌasked€to€adopt€me.Ð ü(L$. ÐÌà  à5.à ` àI€have€a€lawyer€whose€name€and€telephone€number€are€Ð *à%0 ÐÌ_______________________________________________.€€I€have€met€withÐ $,t'2 ÐÌmy€lawyer€who€has€gone€over€this€consent€form€with€me€andÐ ¸-)4 ÐÐ ‚.Ò)5 Ðexplained€to€me€what€it€means€to€be€adopted.€Ð ° ÐÌà  à6.€€I€understand€that€if€I€agree€to€be€adopted,€and€I€amÐ D” ÐÌadopted,€________________________________€will€become€my€parents,Ð Ø( ÐÌand€I€will€become€their€child.€€Ð l ¼ ÐÌà  à7.€€I€understand€that€I€do€not€have€to€agree€to€be€adopted.€€Ð  P ÐÌIf€I€do€not€agree,€the€judge€cannot€approve€the€adoption.€€If€theÐ ” ä  ÐÌadoption€is€not€approved,€and€I€am€not€adopted€by€someone€else,€aÐ (x  ÐÌjudge€will€decide€where€I€will€live.€Ð ¼  ÐÌà  à8.€€I€voluntarily€and€of€my€own€free€will€agree€to€beingÐ P   ÐÌadopted€by€_______________________________________.€€I€understandÐ ä4 ÐÌthat€if€they€are€not€able€to€complete€the€adoption,€this€consentÐ xÈ ÐÌform€will€no€longer€be€valid€and€can€no€longer€be€used.Ð  \ ÐÌà  à9.€€I€understand€that€if€I€change€my€mind€and€do€not€wantÐ  ð ÐÌto€be€adopted,€I€must€tell€my€lawyer,€my€social€worker,€or€theÐ 4„ ÐÌjudge€immediately.€€I€will€have€to€sign€a€written€statement€orÐ È ÐÌtell€the€judge€in€court€that€I€do€not€want€to€be€adopted€ò òbeforeó ó€Ð \¬ ÐÌthe€adoption€order€is€signed€by€a€judge.€€This€is€called€aÐ ð@  ÐÌrevocation€of€consent.Ð „Ô" ÐÌà  à10.€€I€understand€that€when€I€am€at€least€21€years€old,€myÐ !h$ ÐÌbirth€parents€or€I€may€apply€to€the€Secretary€of€the€MarylandÐ ¬"ü& ÐÌDepartment€of€Health€and€Mental€Hygiene€to€get€certain€birth€andÐ @$( ÐÌadoption€records.€€If€I€do€not€want€information€about€me€to€be€Ð Ô%$!* ÐÌgiven€to€my€birth€parents,€I€have€the€right€to€file€a€form€calledÐ h'¸", ÐÌa€"disclosure€veto."€€I€have€been€given€a€form€that€I€may€use€if€Ð ü(L$. ÐÌI€want€to€file€a€disclosure€veto.€Ð *à%0 ÐÌà  à11.€€I€understand€that€when€I€am€at€least€21€years€old,€myÐ $,t'2 ÐÌbirth€parents,€my€siblings,€or€I€may€apply€to€the€Director€of€theÐ ¸-)4 ÐÐ ‚.Ò)5 ÐSocial€Services€Administration€of€the€Maryland€Department€ofÐ ° ÐÌHuman€Resources€for€adoption€search,€contact,€and€reunionÐ D” ÐÌservices.€€€€€€€€€€€€€Ð Ø( ÐÌà  à12.€€I€have€read€this€consent€form€or€have€had€it€read€andÐ l ¼ ÐÌexplained€to€me€in€a€language€that€I€understand.€€I€understandÐ  P ÐÌthe€meaning€of€this€consent€form.€€Ð ” ä  ÐÌà  à13.€€I€have€not€been€promised€anything€in€return€forÐ (x  ÐÌagreeing€to€be€adopted.Ð ¼  ÐÌà  à14.€€I€have€signed€this€consent€form€of€my€own€free€will.€Ð P   ÐÌà  à15.€€I€understand€that€I€will€be€given€a€copy€of€this€signedÐ ä4 ÐÌconsent€form.Ð xÈ ÐÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ  \ ÐÌcontents€of€this€consent€to€adoption€form€are€true€to€the€best€ofÐ  ð ÐÌmy€knowledge,€information,€and€belief.€€Ð 4„ ÐÌÌ___________________________à À à________________________________Ð ’â Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð \¬ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ð@  Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð º ! ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð N ž# Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð !h$ ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð ¬"ü& Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð v#Æ' ÐÌÐ   %Z ) Ðà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð ° Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð zÊ ÐÌWitness:Ð ^ ÐÌ_________________________à À à_________________________________Ð ¢ò Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð l ¼ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð  P Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð Ê   ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ^ ®  Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð (x  ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð ¼  Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð †Ö  ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð j  Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð ä4 ÐÌÌÌÌÌÐ   ð Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.7,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâÃø#ÔÔ‡XbâXXXb$ÔÌà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àÌForm€9„102.7.€€CONSENT€OF€CHILD€TO€AN€INDEPENDENT€ADOPTIONÐ (x  ÐÌÌÌà@dd ìàò òCONSENT€OF€___________________________€TO€INDEPENDENT€ADOPTIONˆÐ P   Ѐ€€€€€€€€€€€€€€€€€(Name€of€Child)Ð j  ÐÌÌà@$ìàòòINSTRUCTIONSóóó óˆÐ xÈ ÐÌòòà  àThis€consent€form€should€be€completed€only€by€a€child€who€isÐ  \ Ðbeing€adopted€in€an€independent€adoption€that€is€not€beingÐ Ö& Ðarranged€by€an€adoption€or€child€placement€agency.€€Code,€FamilyÐ  ð ÐLaw€Article,€Title€5,€Subtitle€3B.Ð jº ÐóóÌà  àò òThe€attached€consent€form€is€an€important€legal€document.€Ð þN ÐYou€must€read€all€of€these€instructions€BEFORE€you€sign€the€formÐ È Ðand€agree€to€being€adopted.€€If€you€do€not€understand€theÐ ’â Ðinstructions€or€the€consent€form,€you€should€not€sign€it.€If€you€Ð \¬ Ðhave€a€disability€that€makes€it€hard€for€you€to€understand€thisÐ &v Ðform,€do€not€complete€this€consent€form€unless€you€have€a€lawyer.Ð ð@  Ðó óÌÌò òA.€€€Right€to€Have€This€Information€in€a€Language€You€UnderstandÐ N ž# Ðó óÌà  àYou€have€the€right€to€have€these€instructions€and€theÐ â!2% Ðconsent€form€translated€into€a€language€that€you€understand.€€IfÐ ¬"ü& Ðyou€cannot€read€or€understand€English,€you€should€not€sign€thisÐ v#Æ' Ðconsent€form.€€Ð @$( ÐÌÌò òB.€€€Right€to€Speak€with€a€Lawyer€Ð ž&î!+ Ðó óÌà  àIf€you€have€a€disability€that€makes€it€hard€for€you€toÐ 2(‚#- Ðunderstand€this€consent€form,€ò òdo€not€complete€this€formó ó€becauseÐ ü(L$. Ðyou€must€have€a€lawyer€before€you€may€complete€this€form€andÐ Æ)%/ Ðagree€to€be€adopted.€€Ð *à%0 ÐÌà  àEven€if€you€do€not€have€a€problem€understanding€this€consentÐ $,t'2 Ðform,€you€have€the€right€to€speak€with€a€lawyer€before€you€agreeÐ î,>(3 Ðto€be€adopted.€€If€you€want€to€speak€with€a€lawyer,€do€notÐ ¸-)4 Ðcomplete€this€form€until€you€have€spoken€with€a€lawyer.€€Ð ‚.Ò)5 ЇÌò òC.€€€What€Happens€if€You€Sign€the€Consent€Formó óÐ zÊ ÐÌà  àIf€you€sign€the€consent€form,€the€people€who€want€to€adoptÐ ^ Ðyou€will€file€an€adoption€case€in€the€Circuit€Court€forÐ Ø( Ð___________________________.€€There€probably€will€be€a€courtÐ ¢ò Ðhearing€about€your€adoption.€€During€that€hearing,€the€judgeÐ l ¼ Ðprobably€will€ask€you€if€you€want€to€be€adopted.€€The€judge€willÐ 6 † Ðmake€the€final€decision€about€your€adoption.Ð  P ÐÌÌò òD.€€€Right€to€Revoke€Consentó óÐ ^ ®  ÐÌà  àIf€you€sign€this€consent€form€and€then€change€your€mind€andÐ òB  Ðdecide€that€you€do€not€want€to€be€adopted,€you€may€take€back€orÐ ¼  Ð"revoke"€your€consent.€€However,€ò òyou€must€revoke€your€consentÐ †Ö  Ðbefore€the€judge€signs€the€adoption€order,ó ó€and€you€must€revoke€it€Ð P   Ðeither€in€writing€or€in€court€in€front€of€the€judge.€€If€youÐ j  Ðdecide€you€do€not€want€to€be€adopted,€you€should€write€the€judgeÐ ä4 Ðat€_____________________________________________Circuit€Court€atÐ ®þ Ð______________________________________________________€(address)Ð xÈ Ðimmediately,€or€tell€the€judge€before€or€at€the€beginning€of€yourÐ B’ Ðadoption€hearing.à  àà h àà À àà  àà p àà È àà  àà x àà Ð àÐ  \ Ðà  àà ` àÌÌà  àò òSTOP€HERE€IF€YOU€DID€NOT€UNDERSTAND€SOMETHING€YOU€HAVE€READÐ jº ÐOR€IF€YOU€WANT€TO€SPEAK€WITH€A€LAWYER€BEFORE€YOU€DECIDE€IF€YOU€Ð 4„ ÐWANT€TO€SIGN€THE€CONSENT€FORM.Ð þN Ðó óÌÌò òIf€you€wish€to€sign€the€consent€form,€you€must€also€sign€here€toÐ \¬ Ðverify€that€you€read€these€instructions€and€understand€them:Ð &v Ðó óÌÌÌ__________________________________€€€___________________________Ð N ž# Ð(Signature)€€€€€€€€€€€€€€€€€€€€€€€€€€(Date)Ð !h$ ÐÌÌYou€must€attach€a€copy€of€these€signed€instructions€to€the€signedÐ v#Æ' Ðconsent€form.Ð @$( ÐÐ   %Z ) Ðò òCONSENT€OF€______________________________€TO€INDEPENDENT€ADOPTIONÐ ° Ѐ€€€€€€€€€€€€€€€€€(Name€of€Child)Ð zÊ ÐÌÌà  àUse€a€pen€to€fill€out€this€form.€€If€you€decide€to€sign€theÐ Ø( Ðconsent€form,€you€must€have€a€witness€present€when€you€sign€it.€€Ð ¢ò ÐThe€witness€must€be€someone€18€or€older€and€should€not€be€yourÐ l ¼ Ðparent€or€the€person€who€is€adopting€you.€€You€must€fill€in€allÐ 6 † Ðthe€blanks,€sign€the€form,€and€print€your€name,€address,€andÐ  P Ðtelephone€number,€and€the€witness€must€sign€and€print€theÐ Ê   Ðwitness'€name,€address,€and€telephone€number€in€the€blanks€on€theÐ ” ä  Ðlast€page.ó ó€€Ð ^ ®  ÐÌÌà  à1.€€I€understand€English,€or€this€consent€form€has€beenÐ ¼  ÐÌtranslated€into€________________________________,€a€language€thatÐ P   ÐÌI€understand.Ð ä4 ÐÌà  à2.€€My€name€is€___________________________________________.€Ð xÈ ЀÌà  à3.€€My€date€of€birth€is€___________________________.€€€I€amÐ  \ ÐÌ_____€years€old.Ð  ð ÐÌà  à4.€€I€understand€that€_____________________________________Ð 4„ ÐÌhave€asked€to€adopt€me.Ð È ÐÌà  à5.à ` àCheck€ò òoneó ó:Ð \¬ Ѐ€€€€€€€€€€Ð &v Ðà  àà ` à[€€]€€I€have€a€lawyer€whose€name€and€telephone€numberÐ ð@  ÐÌ€€€€€€€€€€€€€€€€are€___________________________________________.Ð „Ô" ÐÌ€€€€€€€€€€€€€€€€I€have€met€with€my€lawyer€who€has€gone€over€thisÐ !h$ ÐÌ€€€€€€€€€€€€€€€€consent€form€with€me€and€explained€to€me€what€it€Ð ¬"ü& ÐÌ€€€€€€€€€€€€€€€€means€to€be€adopted.€€I€want€to€agree€to€beÐ @$( ÐÌ€€€€€€€€€€€€€€€€adopted.Ð Ô%$!* ÐÌ€€€€€€€€€€€ORÐ h'¸", ÐÌà  àà ` à[€€]€€I€do€not€have€a€lawyer.€€I€have€read€theÐ ü(L$. ÐÌ€€€€€€€€€€€€€€€€instructions€in€the€front€of€this€form,€and€I€Ð *à%0 ÐÌ€€€€€€€€€€€€€€€€understand€this€consent€form.€€I€do€not€want€toÐ $,t'2 ÐÌ€€€€€€€€€€€€€€€€speak€with€a€lawyer€before€I€complete€this€formÐ ¸-)4 ÐÐ ‚.Ò)5 Ѐ€€€€€€€€€€€€€€€and€agree€to€be€adopted.€€Ð ° ÐÌà  à6.€€I€understand€that€if€I€agree€to€be€adopted,€and€I€amÐ D” ÐÌadopted,€________________________________________€will€become€myÐ Ø( ÐÌparents,€and€I€will€become€their€child.€€Ð l ¼ ÐÌà  à7.€€I€understand€that€if€I€agree€to€be€adopted,€and€I€amÐ  P ÐÌadopted,€_________________________________________€will€no€longerÐ ” ä  ÐÌbe€my€parents.Ð (x  ÐÌà  à8.€€I€understand€that€I€do€not€have€to€agree€to€be€adopted.€€Ð ¼  ÐÌIf€I€do€not€agree,€the€court€cannot€approve€the€adoption.€€Ð P   ÐÌà  à9.€€I€voluntarily€and€of€my€own€free€will€agree€to€beingÐ ä4 ÐÌadopted€by€_______________________________________.€€I€understandÐ xÈ ÐÌthat€if€they€are€not€able€to€complete€the€adoption,€this€consentÐ  \ ÐÌform€will€no€longer€be€valid€and€can€no€longer€be€used.Ð  ð ÐÌà  à10.€€I€understand€that€if€I€change€my€mind€and€do€not€wantÐ 4„ ÐÌto€be€adopted,€I€must€tell€the€judge€immediately.€€I€will€have€toÐ È ÐÌsign€a€written€statement€or€tell€the€judge€in€court€that€I€do€notÐ \¬ ÐÌwant€to€be€adopted€ò òbeforeó ó€the€adoption€order€is€signed.€Ð ð@  ÐÌà  à11.€€I€understand€that€when€I€am€at€least€21€years€old,€myÐ „Ô" ÐÌbirth€parents€or€I€may€apply€to€the€Secretary€of€the€MarylandÐ !h$ ÐÌDepartment€of€Health€and€Mental€Hygiene€to€get€certain€birth€andÐ ¬"ü& ÐÌadoption€records.€€If€I€do€not€want€information€about€me€to€be€Ð @$( ÐÌgiven€to€my€birth€parents,€I€have€the€right€to€file€a€form€calledÐ Ô%$!* ÐÌa€"disclosure€veto."€€I€have€been€given€a€form€that€I€may€use€ifÐ h'¸", ÐÌI€want€to€file€a€disclosure€veto.€Ð ü(L$. ÐÌà  à12.€€I€understand€that€when€I€am€at€least€21€years€old,€myÐ *à%0 ÐÌbirth€parents,€my€siblings,€or€I€may€apply€to€the€Director€of€theÐ $,t'2 ÐÌSocial€Services€Administration€of€the€Maryland€Department€ofÐ ¸-)4 ÐÐ ‚.Ò)5 ÐHuman€Resources€for€adoption€search,€contact,€and€reunionÐ ° ÐÌservices.€€€€€€€€€€€€€Ð D” ÐÌà  à13.€€I€have€read€this€consent€form€or€have€had€it€read€andÐ Ø( ÐÌexplained€to€me€in€a€language€that€I€understand.€€I€understandÐ l ¼ ÐÌthe€meaning€of€this€consent€form.€€Ð  P ÐÌà  à14.€€I€have€not€been€promised€anything€in€return€forÐ ” ä  ÐÌagreeing€to€be€adopted.Ð (x  ÐÌà  à15.€€I€have€signed€this€consent€form€of€my€own€free€will.€Ð ¼  ÐÌà  à16.€€I€understand€that€I€will€be€given€a€copy€of€this€signedÐ P   ÐÌconsent€form.Ð ä4 ЀÌÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ B’ ÐÌcontents€of€this€consent€to€adoption€form€are€true€to€the€best€ofÐ Ö& ÐÌmy€knowledge,€information,€and€belief.€€Ð jº ÐÌÌ___________________________à À à________________________________Ð È Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð ’â ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð &v Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð ð@  ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð „Ô" Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð N ž# ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð â!2% Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð ¬"ü& ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð @$( Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð  %Z ) ÐÌWitness:Ð ž&î!+ ÐÌÌÌ________________________à h àà À à_________________________________Ð Æ)%/ Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð *à%0 ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð $,t'2 Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð î,>(3 ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ‚.Ò)5 Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð ° ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð D” Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð ^ ÐÌà  àà ` àà ¸ àà  àà h àà À à_________________________________Ð ¢ò Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð l ¼ ÐÌÌò òA€COPY€OF€THE€INSTRUCTIONS€WITH€YOUR€SIGNATURE€MUST€BE€ATTACHEDÐ Ê   ÐTO€THIS€CONSENT€FORM.ó óÐ ” ä  ÐÌÌÌÌÐ  †Ö  Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.8,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâð#ÔÔ‡XbâXXXb$ÔÌÌForm€9„102.8.€€ATTORNEY€AFFIDAVIT€AS€TO€CONSENT€OF€A€PARENT€TO€AÐ (x  ÐÌPUBLIC€AGENCY€GUARDIANSHIP€OR€PRIVATE€AGENCY€GUARDIANSHIPÐ ¼  Ðà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àà Ð àÌÌÌà@  ìàò òAffidavit€by€Attorney€as€to€Consent€ofˆÐ ä4 ÐÌà@ppìà________________________€(parent)€to€GuardianshipˆÐ xÈ ÐÌà@DDìàwith€the€Right€to€Consent€to€Adoption€("Guardianship")ˆÐ  \ ÐÌà@dd ìàby€_________________€(agency)€of€_____________________€(child)ˆÐ  ð Ðó óÌÌÌà  à1.€€I€am€the€attorney€representing€________________________,Ð È ÐÌa€parent€of€______________________________,€the€child€who€is€theÐ \¬ ÐÌsubject€of€the€consent.Ð ð@  ÐÌà  à2.€€The€parent,€at€the€time€of€the€signing€of€the€consent,Ð „Ô" ÐÌwas€___€years€old.€€The€parent's€date€of€birth€is€______________.Ð !h$ ÐÌà  à3.€€(Check€one€of€the€following)Ð ¬"ü& ÐÌà  àà ` à[€€]€The€parent€is€not€disabled€or€is€disabled€but€theÐ @$( ÐÌ€€€€€€€€€€€€€€€disability€does€not€affect€the€parent's€ability€toÐ Ô%$!* ÐÌ€€€€€€€€€€€€€€€understand€the€meaning€of€the€consent€toÐ h'¸", ÐÌ€€€€€€€€€€€€€€€guardianship.€€Ð ü(L$. Ðà  àORÐ Æ)%/ ÐÌà  àà ` à[€€]€The€parent€is€a€minor€or€has€a€disability€thatÐ Z+ª&1 ÐÌ€€€€€€€€€€€€€€€could€affect€the€parent's€ability€to€understandÐ î,>(3 ÐÌ€€€€€€€€€€€€€€€the€meaning€of€the€consent€to€guardianship.€€TheÐ ‚.Ò)5 Ї€€€€€€€€€€€€€€€disability€is€__________________________________Ð ° ÐÌ€€€€€€€€€€€€€€€________________________________________________.Ð D” ÐÌ€€€€€€€€€€€€€€€Despite€the€parent's€age€or€disability,€I€believeÐ Ø( ÐÌ€€€€€€€€€€€€€€€that€the€parent€understood€the€meaning€of€Ð l ¼ ÐÌ€€€€€€€€€€€€€€€consenting€to€guardianship.€€The€followingÐ  P ÐÌ€€€€€€€€€€€€€€€additional€steps€were€taken€to€ensure€that€Ð ” ä  ÐÌ€€€€€€€€€€€€€€€the€parent€understood€the€meaning€of€the€consentÐ (x  ÐÌ€€€€€€€€€€€€€€€form€prior€to€signing€it:€_______________________Ð ¼  ÐÌ€€€€€€€€€€€€€€€________________________________________________.Ð P   ÐÌà  à4.€€The€parent€understands€English,€or€the€consent€form€thatÐ ä4 ÐÌthe€parent€signed€was€translated€into€_______________,€a€languageÐ xÈ ÐÌthat€the€parent€understands.Ð  \ ÐÌà  à5.€€I€have€explained€to€the€parent€that€____________________Ð  ð ÐÌ(agency)€has€filed€or€plans€to€file€a€case€to€ask€the€court€toÐ 4„ ÐÌgrant€it€guardianship€of€the€child€with€the€right€to€consent€toÐ È ÐÌadoption€by:Ð \¬ ÐÌCheck€one€of€the€following:Ð ð@  ÐÌà  à[€€]€a€family€approved€by€the€agency.Ð „Ô" ÐÌà  àORÐ !h$ ÐÌà  à[€€]€__________________________€(name€by€which€parent€knowsÐ ¬"ü& ÐÌ€€€€€€€€€€adoptive€parent).Ð @$( ÐÌà  à6.€€I€reviewed€the€consent€form€thoroughly€with€the€parent,Ð Ô%$!* ÐÌand€I€believe€that€the€parent€desires€to€consent€to€theÐ h'¸", ÐÌguardianship€and€has€signed€the€consent€form€knowingly€andÐ ü(L$. ÐÌvoluntarily€and€not€due€to€duress€or€coercion.Ð *à%0 ÐÌÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ î,>(3 Ðà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àÌcontents€of€this€affidavit€are€true€to€the€best€of€my€knowledge,Ð ‚.Ò)5 Їinformation,€and€belief.€€Ð ° ÐÌÌ___________________________à À à________________________________Ð ^ Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð Ø( ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð l ¼ Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð 6 † ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð Ê   Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð ” ä  ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð (x  Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð òB  ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð †Ö  Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð P   Ѐ̀ÌÌÌÐ  B’ Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.9,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâÜI#ÔÔ‡XbâXXXb$ÔÌÌÌForm€9„102.9.€€ATTORNEY€AFFIDAVIT€AS€TO€CONSENT€OF€A€PARENT€TOÐ òB  ÐÌADOPTIONÐ †Ö  ÐÌò òÌà@È È ìàAffidavit€by€Attorney€as€to€Consent€of€ˆÐ ä4 ÐÌà@ppìà________________________________________€(parent)ˆÐ xÈ ÐÌà@TT ìàto€Adoption€of€___________________________________________ˆÐ  \ ÐÌÌó óà0  à1.€€I€am€the€attorney€representing€_________________________Ðjº(#(# ÐÌ____________________,€a€parent€of€______________________________,Ð þN ÐÌthe€child€who€is€the€subject€of€the€consent.Ð ’â ÐÌà  à2.€€The€parent,€at€the€time€of€the€signing€of€the€consent,Ð &v ÐÌwas€_____€years€old.€€The€parent's€date€of€birth€isÐ º ! ÐÌ____________________________________.Ð N ž# ÐÌà  à3.€€(Check€one€of€the€following)Ð â!2% ÐÌà  àà ` à[€€]€€€The€parent€is€not€disabled€or€is€disabled€butÐ v#Æ' ÐÌ€€€€€€€€€€€€€€€€€the€disability€does€not€affect€the€parent'sÐ  %Z ) ÐÌ€€€€€€€€€€€€€€€€€ability€to€understand€the€meaning€of€the€consentÐ ž&î!+ ÐÌ€€€€€€€€€€€€€€€€€to€adoption.€€Ð 2(‚#- ÐÌà  àà ` àORÐ Æ)%/ ÐÌà  àà ` à[€€]à ¸ à€€The€parent€is€a€minor€or€has€a€disability€thatÐ Z+ª&1 ÐÌ€€€€€€€€€€€€€€€€€could€affect€the€parent's€ability€to€understandÐ î,>(3 ÐÌ€€€€€€€€€€€€€€€€€the€meaning€of€the€consent€to€adoption.€€TheÐ ‚.Ò)5 Ї€€€€€€€€€€€€€€€€€disability€is€_________________________________Ð ° ÐÌ€€€€€€€€€€€€€€€€€_______________________________________________.Ð D” ÐÌ€€€€€€€€€€€€€€€€€Despite€the€parent's€age€or€disability,€IÐ Ø( ÐÌ€€€€€€€€€€€€€€€€€believe€that€the€parent€understood€the€meaningÐ l ¼ ÐÌ€€€€€€€€€€€€€€€€€of€consenting€to€adoption.€€The€followingÐ  P ÐÌ€€€€€€€€€€€€€€€€€additional€steps€were€taken€to€ensure€that€the€Ð ” ä  ÐÌ€€€€€€€€€€€€€€€€€parent€understood€the€meaning€of€the€consentÐ (x  ÐÌ€€€€€€€€€€€€€€€€€form€prior€to€signing€it:€_____________________Ð ¼  ÐÌ€€€€€€€€€€€€€€€€€_______________________________________________.Ð P   ÐÌà  à4.€€The€parent€understands€English,€or€the€consent€formÐ ä4 ÐÌthat€the€parent€signed€was€translated€into€_____________________,Ð xÈ ÐÌa€language€that€the€parent€understands.Ð  \ ÐÌà  à5.€€I€have€explained€to€the€parent€that€____________________Ð  ð ÐÌ(name€by€which€parent€knows€adoptive€parent)€has€filed€or€plansÐ 4„ ÐÌto€file€a€case€to€ask€the€court€to€permit€that€person€to€adoptÐ È ÐÌthe€parent's€child.Ð \¬ ÐÌà  à6.€€I€reviewed€the€consent€form€thoroughly€with€the€parent,Ð ð@  ÐÌand€I€believe€that€the€parent€desires€to€consent€to€the€adoptionÐ „Ô" ÐÌand€has€signed€the€consent€form€knowingly€and€voluntarily€and€notÐ !h$ ÐÌdue€to€duress€or€coercion.Ð ¬"ü& ÐÌÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ  %Z ) ÐÌcontents€of€this€affidavit€are€true€to€the€best€of€my€knowledge,Ð ž&î!+ ÐÌinformation,€and€belief.€€Ð 2(‚#- ÐÌÌ___________________________à À à________________________________Ð *à%0 Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð Z+ª&1 ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð î,>(3 Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð ¸-)4 ÐÐ ‚.Ò)5 Ðà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ° Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð zÊ ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ^ Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð Ø( ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð l ¼ Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð 6 † ÐÌÌÌÌÌÐ  òB  Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€9€„€FAMILY€LAW€ACTIONSˆÐ D” ÐÌà@¬¬ìàFORMS€FOR€GUARDIANSHIPS€THAT€TERMINATE€à@@ ìàà@@ ìàPARENTAL€ˆÐ Ø( ÐÌà@<< ìàRIGHTS€AND€ADOPTIONSˆÐ l ¼ ÐÌÌà  àADD€new€Form€9„102.10,€as€follows:Ð Ê   ÐÔ#†Xb$XXXbâç_#ÔÌÌÌForm€9„102.10.€€ATTORNEY€AFFIDAVIT€AS€TO€CONSENT€OF€A€CHILD€TOÐ f  ÐÌADOPTIONÐ Â  ÐÌÌà@  ìàò òAffidavit€by€Attorney€as€to€Consent€ofˆÐ D” ÐÌà@ÌÌìà____________________________________€(Child)€to€AdoptionˆÐ  \ ÐÌÌó óÌà  à1.€€I€am€the€attorney€representing€________________________,Ð ŽÞ ÐÌthe€individual€who€is€the€subject€of€this€adoption€proceedingÐ :Š ÐÌ("the€child").Ð æ6 ÐÌà  à2.€€The€child,€at€the€time€of€the€signing€of€the€consentÐ ’â ÐÌform,€was€_____€years€old.€€The€child's€date€of€birth€isÐ >Ž  ÐÌ__________________________________.€€To€the€best€of€my€knowledge,Ð ê :" ÐÌthe€child€is€not€an€Indian€child€subject€to€the€provisions€of€theÐ –"æ$ ÐÌIndian€Child€Welfare€Act.Ð B$’& ÐÌà  à3.€€(Check€one€of€the€following)Ð î%>!( ÐÌà  àà ` à[€€]€€The€child€is€not€disabled€or€is€disabled€but€theÐ š'ê"* ÐÌ€€€€€€€€€€€€€€€€disability€would€not€affect€the€child's€abilityÐ F)–$, ÐÌ€€€€€€€€€€€€€€€€to€understand€the€meaning€of€consenting€toÐ ò*B&. ÐÌ€€€€€€€€€€€€€€€€adoption.€€Ð ž,î'0 Ðà  àà ` àORÐ t-Ä(1 ÐÐ J.š)2 Ðà  àà ` à[€€]€€The€child€has€a€disability€that€could€affect€theÐ ° ÐÌ€€€€€€€€€€€€€€€€child's€ability€to€understand€the€meaning€ofÐ \¬ ÐÌ€€€€€€€€€€€€€€€€consenting€to€adoption.€€The€disability€is€Ð X ÐÌ€€€€€€€€€€€€€€€€________________________________________________.€Ð ´  ÐÌà  àà ` à€€€€€€Despite€the€child's€disability,€I€believe€thatÐ ` ° ÐÌ€€€€€€€€€€€€€€€€the€child€understands€the€meaning€of€theÐ  \  ÐÌ€€€€€€€€€€€€€€€€consenting€to€adoption.€€The€following€additionalÐ ¸  ÐÌ€€€€€€€€€€€€€€€€steps€were€taken€to€ensure€that€the€childÐ d´  ÐÌ€€€€€€€€€€€€€€€€understood€the€meaning€of€the€consent€form€priorÐ `  ÐÌ€€€€€€€€€€€€€€€€to€signing€it:€_________________________________Ð ¼  ÐÌ€€€€€€€€€€€€€€€€________________________________________________.Ð h¸ ÐÌà  à4.€€The€child€understands€English,€or€the€consent€that€theÐ d ÐÌchild€signed€has€been€translated€into€__________________________,Ð À ÐÌa€language€that€the€child€understands.Ð l¼ ÐÌà  à5.€€I€have€explained€to€the€child€that€_____________________Ð h Ѐ€Ð î> Ðhave€asked€the€court€to€be€permitted€to€adopt€the€child,€that€theÐ Ä ÐÌchild€has€the€right€to€decide€whether€or€not€the€child€wants€toÐ pÀ  ÐÌbe€adopted,€and€the€possible€options€if€the€adoption€is€notÐ !l" ÐÌapproved.Ð È"$ ÐÌà  à6.€€I€reviewed€the€consent€form€thoroughly€with€the€child,Ð t$Ä& ÐÌand€I€believe€that€the€child€agrees€to€the€adoption€and€hasÐ  &p!( ÐÌsigned€the€consent€form€knowingly€and€voluntarily€and€not€due€toÐ Ì'#* ÐÌduress€or€coercion.Ð x)È$, ÐÌÌà  àI€solemnly€affirm€under€the€penalties€of€perjury€that€theÐ ú+J'/ ÐÌcontents€of€this€affidavit€are€true€to€the€best€of€my€knowledge,Ð ¦-ö(1 ÐÐ |.Ì)2 Ðinformation,€and€belief.€€Ð ° ÐÌÌ___________________________à À à________________________________Ð 2‚ Ð(Date)à ` àà ¸ àà  àà h àà À à(Signature)Ð X ÐÌÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð Š Ú Ðà  àà ` àà ¸ àà  àà h àà À à(Printed€Name)Ð ` ° ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð  \  Ðà  àà ` àà ¸ àà  àà h àà À à(Address)Ð â 2  ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð ŽÞ  Ðà  àà ` àà ¸ àà  àà h àà À à(City,€State,€Zip€Code)Ð d´  ÐÌà  àà ` àà ¸ àà  àà h àà À à________________________________Ð `  Ðà  àà ` àà ¸ àà  àà h àà À à(Telephone€Number)Ð æ6 ÐÌÔ_ÔÐ  ’â Ðà@˜ ˜ ìàMARYLAND€RULES€OF€PROCEDUREˆÐ ° ÐÌà@\ \ ìàTITLE€1€„€GENERAL€PROVISIONSˆÐ \¬ ÐÌà@Œ Œ ìàCHAPTER€100€„€APPLICABILITY€AND€CITATIONˆÐ X ÐÌÌà  àAMEND€Rule€1„101€to€conform€to€the€proposed€revisions€to€theÐ Š Ú ÐÌRules€in€Title€9,€Chapter€100,€as€follows:Ð 6 †  Ðà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àÌÌRule€1„101.€€APPLICABILITY€Ð ¸  ÐÌà@ìì*ìàˆÌÓÓ€€€.€.€.Ð :Š  Ѐ€(Ô_ÔiÔ_Ô)€€Title€9Ð æ6 Ðà  à€€Title€9€applies€to€ò òadoptions,€guardianships€with€the€rightÐ ’â Ðto€consent€to€adoptionó ó€òòproceedings€under€Code,€Family€LawÐ >Ž ÐArticle,€Title€5,€Subtitles€3€(Guardianship€to€and€AdoptionÐ ê: Ðthrough€Local€Department),€3A€(Private€Agency€Guardianship€andÐ –æ ÐAdoption),€and€3B€(Independent€Adoption)óó€and€proceedings€relatingÐ B’ Ðto€divorce,€annulment,€alimony,€child€support,€and€child€custodyÐ î> Ðand€visitation.€€Ð šê Ѐ€(j)€€Title€10Ð F –! Ðà  à€€Title€10€applies€to€fiduciary€matters€in€the€courts€ofÐ ò!B# Ðthis€State,€except€for€matters€relating€to€the€settlement€ofÐ ž#î% Ðdecedents'€estates€governed€by€Title€6€of€these€Rules€andÐ J%š ' Ðguardianships€ò òwith€the€right€to€consent€to€adoptionó ó€governed€byÐ ö&F") ÐTitle€9€of€these€Rules.€€Ð ¢(ò#+ Ѐ€€.€.€.Ð N*ž%- Ð