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Approved SCAO FILE NO. STATE OF MICHIGAN 6th JUDICIAL CIRCUIT - FAMILY DIVISION Oakland COUNTY PETITION FOR RESCISSION OF ADOPTION AND ORDER In the matter of adoptee Full name of child at birth Birth date 1. The petition is denied. Judge Do not write below this line - For court use only PCA 349 9/97 MCL 710. 4. The adoptee s name will be First Middle Last 5. The adoptee s legal parents are Name of natural parent Name of adoptive step-parent Address City state zip Telephone no. I declare that...
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