r1r STANDING COMMITTEE ON RULES OF PRACTICE - Maryland ...

child or I or my child's other biological parent may apply to the
Director of the Social Services Administration of the Department
of Human Resources for adoption search, contact, and reunion
services. By my initials, I acknowledge receiving a copy of the
Maryland Code, Family Law Article, Title 5, Subtitle 4B.
9. EFFECT OF CONSENT.
-81-
______________
(Initials)
I UNDERSTAND THAT, BY SIGNING THIS CONSENT, I AGREE TO THE
CONTENTS OF IT, AND THAT, UNLESS THIS IS A STEPPARENT ADOPTION IN
WHICH MY (HUSBAND)(WIFE) IS PROPOSING TO ADOPT MY CHILD, I AM
GIVING UP ALL RIGHTS, DUTIES, AND OBLIGATIONS WITH RESPECT TO MY
CHILD AND ALL RIGHTS TO PARTICIPATE IN ANY PROCEEDING FOR
ADOPTION OR GUARDIANSHIP OF MY CHILD.
10. RIGHT TO REVOKE CONSENT - LIMITATIONS.
I understand that the only way in which I can revoke this
consent is by delivering my revocation to the following person:
Clerk of the Circuit Court for __________________________________
(Name of County)
Attention: Adoption Clerk
_________________________________________________________________
(Address and Telephone Number of Court)
_________________________________________________________________
in writing no later than _____________________________________ ,
which is 30 days from the date I sign this consent, that my
consent is revoked. The revocation must be signed by me and