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Get WI F-05022F 2016-2024

Do not post this form on any website or alter it in any way.   Type or print in BLACK INK. No cross-outs, write-overs, erasures, or correction fluid allowed. Follow instructions on the reverse side. PART I PART II TYPE OF ADOPTION (Check one.) Stepparent CHILD’S NEW NAME AS SET FORTH IN DECREE FIRST NAME Single Parent MIDDLE NAME Two Parent LAST NAME Suffix (e.g., Jr., I, II) PART III INFORMATION ABOUT PARENTS AFTER THE CHILD’S ADOPTION MOTHER OR PARENT ONE FULL CURRENT NAME .

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