WPC0  
      M     KAQR`sXSK"XД&&R Tq2r:=S30)g-9E0̥UᔑxI#&B W! ܔ+g!k	ǑM{YW=]<$8ې=*jS#x͂pS!\l Ǌ.Χd3RJ^ӯZ]ESAM~	P,WrC~'}lZV"TRoalP H/UTl\U\K{ptӬDtfcO
zxveSiDYr.MOUmaUq9_ȌjpjFиAh'g+[rC7đ	'l;fHKXUSYE5"MOHJnIWT*<Yh'+v"Aٖ۞(`nA M           #   !  6   U   N   W  	%        0   :     0        0         U   @   	  0      

  0      
  0        0        0        0        0      q  0      M  0      /  0        0        0        0        0      l  0      <  0      	  0        0        0        0      m  0      E  0        0        0        0        0   0   P  0   <     0        0   >   z   0   v      0   `   .!  0   `   !  0   `   !  0   `   N"  0   `   "  0   8   #  0      F#  0   2   $  0      J$  0   :   F%  0   Y   %  0   _   %  0   
  8&  0   j  B'  0     (  	B   *   0*  	D   /   Z*  	D   +   *  0     *  	D   /   8,  0      g,  0   6   5-  0     k-  0   :   s.  0   ^   .  0   <   /   U   6   G/   U   >   }/   U   *   /   	      /   U   N   /  N      E0  ^      G0  w   @   S0  4      0        0        0  	m      0   U'   ,   0   H P   L a s e r J e t   4 0 0 0   S e r i e s   P C L 6                                                       V,,,, V0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,      2   J   +       M   0 _ l e v e l 1            X 2  (   `	   h   p    x  2 2      3
   
       . .          5  +    `	   h   p    x  5         2   G   +       M   0 _ l e v e l 2             /  % `	 `	   h   p    x  / 2     3
   
       . .          5  +    `	   h   p    x  5     ( 9  	   Z  ( T i m e s   N e w   R o m a n               2   D   +       M   0 _ l e v e l 3             ,  " 
   h   p    x  , 2     3
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   
       . .          5  +    `	   h   p    x  5         2   >   +       M   0 _ l e v e l 5             &   h h   p    x  & 2     3
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       5  +    `	   h   p    x  5         2   2          M   0 _ l e v n l 9                    x   2     3
   
       5  +    `	   h   p    x  5         0                   . N o r m a l         <                   : D e f i n i t i o n   T         <   A           A   : D e f i n i t i o n   L        , 5  +    `	   h   p    x  5       5  +    `	   h   p    x  5     8                  6 D e f i n i t i o n         (   '           '   & H 1                             X      XX     (                 & H 2                    X      XX     (                 & H 3                    X      XX     (                 & H 4         X      XX     X      XX     (                 & H 5                    X      XX     (                 & H 6                    X      XX     2                 0 A d d r e s s         8   M           M   6 B l o c k q u o t e        ,    , 5  +    `	   h   p    x  5             5  +    `	   h   p    x  5     ,                  * C I T E         ,       d       l    * C O D E                K @          < 6X  9   ` (  C o u r i e r   N e w         K     X      XX S A           \	  	   `  & T i m e s   N e w   R o m a n         S     4                  2 E m p h a s i s         6                  4 H y p e r l i n k                    <                  : F o l l o w e d H y p e                   4       g       o    2 K e y b o a r d                K @          < 6X  9   ` (  C o u r i e r   N e w         K     X      XX S A           \	  	   `  & T i m e s   N e w   R o m a n         S     <                 : P r e f o r m a t t e d     /  %    
  , K k     %#/            K @          < 6X  9   ` (  C o u r i e r   N e w         K     X      XX S A           \	  	   `  & T i m e s   N e w   R o m a n         S /  %    
  , K k     %#/     <                 : z  B o t t o m   o f       7 6   (                   X                 7                ? B          % 2  A   `   A r i a l         ? 7 7   (                   X                 7          X      XX S A           \	  	   `  & T i m e s   N e w   R o m a n         S   &              d          d   5 )     1                        d x    d  '                              d x    d    <                 : z  T o p   o f   F o r     7 9   (                   X                 7                ? B          % 2  A   `   A r i a l         ? 7 7   (                   X                 7          X      XX S A           \	  	   `  & T i m e s   N e w   R o m a n         S  5 )     2                        d x    d    0       K       S    . S a m p l e     K @          < 6X  9   ` (  C o u r i e r   N e w         K S A           \	  	   `  & T i m e s   N e w   R o m a n         S     0                  . S t r o n g         8       d       l    6 T y p e w r i t e r                K @          < 6X  9   ` (  C o u r i e r   N e w         K     X      XX S A           \	  	   `  & T i m e s   N e w   R o m a n         S     4                  2 V a r i a b l e         :                  8 H T M L   M a r k u p     B
   
                2       
            0 C o m m e n t     B
   
 < 6X  9   ` (  C o u r i e r   N e w          \	  	   `  & T i m e s   N e w   R o m a n         % 2  A   `   A r i a l          S D U _ 1 3   ( *  	   Z   6 T i m e s   N e w   R o m a n   R e g u l a r           Un2     
        D    	  D 
     [   [   [   U    va2    :i +003| x                   U  , c  A   Z   A r i a l           
   !    USUS. ,      _            X    X  L  X' X  X X    L    XL X'     = (#   D  5g  L   K.S.A.592129   	 X          1 (# AgencyCon senttoAdoption      D!D!C (#   # D  Xo X D 5gx   #  D  ]-	  XD Xo (7/1/05)# D  Xo X	 D ]-r  # # L  X' X XD Xo   #  D  Xo X XL X'  D  5g  XD Xo   # L    D 5g  #    SheilaReynolds # L  X' X L   #  L    XL X' Ԉ   	             `	               h               p            # L  X' X L   #  	 =    /       X       d                 d= 	 @    &  [CAPTION]         `	               h      AGENCYCONSENTTOADOPTIONOFMINORCHILD          L  & % XL X' (nameofagency)# L  X' X %L &T  # Ԁ,a(public)(private)entityhavingforitspurpose   	 		   thecareandmaintenanceofchildren,islocatedinandauthorizedunderthelawsoftheStateof򀀀toplacechildrenforadoption,consenttotheadoptionandtostand   	 f	   inlocoparentistosuchchildrenuntiltheyareadoptedorreachmajority. L  & % XL X'      򀀀(nameofagency)# L  X' X %L &1  # ,isvestedwiththerighttoconsenttotheadoption   	 p   of L  & % XL X' (nameofchild)# L  X' X %L &  # Ԁ,aminorchildborn򀀀 L  & % XL X' (dateofbirth)# L  X' X %L &t  # Ԁat򀀀 L  & % XL X' (placeofbirth)# L  X' X %L &  # Ԁpursuantto   	 V   [arelinquishmentexecutedby(theparentsofthechild)(thepersoninlocoparentistothe   	 <   child)][anorderorjudgmentofthe__________Courtof__________County,__________,aCourtofcompetentjurisdiction].Documentssupportingtheauthoritytoexecutethisconsentareattachedhereto.% C    % C   	         L  & % XL X' Ԁ(nameofagency)# L  X' X %L &	  # Ԁdoesherebyconsenttotheadoptionof L  & % XL X' (nameof   	 b   child)# L  X' X %L &]
  # Ԁby__________resident(s)of__________anddoesherebysurrendersaidchild   	 H   tosaidperson(s)forthepurposeofadoption.      L  & % XL X' Ԁ(nameofagency)# L  X' X %L &k  # Ԁhasauthorized__________(NameofAuthorized   	 R   Representative)theundersigned,astheauthorizedrepresentativetoexecuteconsentstoadoptiononbehalfofsaidagency.     [ L  & % XL X' Ԁ(nameofagency)# L  X' X %L &  # herebywaivesnoticeofthefinalhearingofthe   	    adoption.]Date򀀀󀀀    p  L    XL X' (signatureofauthorizedrepresentative)# L  X' X L   #  L    XL X'    	 D    # L  X' X L 6  #          `	               h           @    g
g
  ACKNOWLEDGMENTBEFORENOTARIALOFFICER L    XL X' STATEOF򀀀)   	 # %            `	           )ss:      COUNTYOF򀀀)# L  X' X L   #    	 $B"'        I,anotarialofficerinandfortheCountyandStateaforesaidcertifythat򀀀   	 @&#)   Ѐ,knowntometobethesamepersonwhosenameissubscribedtotheforegoing   	 &'$*   consent,appearedbeforemeinpersonandacknowledgedthatthestatementsmadeintheforegoingconsentaretrue.Dated򀀀at򀀀򀀀.m.0     0    (#(# 򀀀 L  & % XL X' (signatureofnotarialofficer)# L  X' X %L &
  #  L    XL X' Ԁ# L  X' X L m  #  @  #  @  #  @  #  @  #  @  #  @  #  @  #     *f(. (#(#        (SEAL,ifany)              h           򀀀 L  & % XL X' title(andrank)# L  X' X %L &  # Ԁ	   	 ,2*0    L    XL X'          `	 # L  X' X L g  #    X  X XL X' @    {{&  
    7:   X X 
   Authority     	 X      K.S.A.592129(b);592114.@    $    NotesonUse     	 D        Ifachildhasbeenplacedforadoptionwithanagency,theauthorizedrepresentativeoftheagencymustconsenttoanadoptionofthechild.K.S.A.592129(b).Thisstatutealsoprovidesthatifthechildwhoistobeadoptedisovertheageof14andofsoundintellect,thechildsconsentmustbegiven..   	 n        Allconsentstoadoptionmustbeinwritingandacknowledgedeitherbeforeajudgeofacourtofrecordorbeforeanofficerauthorizedbylawtotakeacknowledgments.K.S.A.592114(a).ConsentsmustbeexecutednotmorethansixmonthspriortothedateoffilingofthePetitionforAdoption.K.S.A.592114(b).     @    YY&    Comments     	 `
        AccordingtoK.S.A.592128(f),theseconsentsmustbefiledwiththePetitionforAdoption.Ifanadoptionagencyacceptsaparentsrelinquishmentforadoption,theagencystandsinlocoparentistothechild   	    andhasalltherightsofaparent,includingthepowertoplacethechildforadoptionandgiveconsentthereto.K.S.A.5902124(a).     Noticeofthefinalhearingoftheadoptionmustbegiventotheagency,unlesstheagencyhaswaivednoticeofthehearing.K.S.A.592133(c).Thusthelastparagraphintheformisoptional,tobeinsertediftheagencyiswillingtowaivenotice.     K.S.A.592136(e)providesthattheagencytowhichthechildhasbeenrelinquishedmayfilethePetitionforAdoption.Thusanagencytowhichachildhasbeenoristoberelinquishedhasstandingtofileapetitionforterminationofparentalrights.InreBabyBoyN.,19Kan.App.2d574,578,874P.2d680,68384(1994).   	 h   
 #   X/  X  ^  # 
 
