CONCORDÂNCIA COM ADOÇÃO

DECLARAÇÃO

EU,___________________________________________________________,

_________________,____________________,_________________residente (s)e domiciliado (s) (a) ______________________________________________________________,

declaro que estou ciente e plenamente de acordo que__________________________________________________________________________________________________________________________, seja adotado (a) por _______________________________________________________________residente (s) e domiciliado (a) (os) ____________________________________________________________________________________________________________________.

Mangaratiba, _____de ______________de______

Assinatura:______________________________________________

Identidade:___________________________

CPF:________________________________