Berk. Cnty. Pa. 15.13B

As amended through May 6, 2024

Rule 15.13B - Financial Responsibility

A Statement of Financial Responsibility, in the following form, shall be attached to all petitions for adoption:

IN RE: : IN THE COURT OF COMMON PLEAS

ADOPTION OF : OF BERKS COUNTY, PENNSYLVANIA

: ORPHANS' COURT DIVISION

: No.

STATEMENT OF FINANCIAL RESPONSIBILITY

I, __________________________, the person petitioning to adopt the above-named

child, acknowledge that if the adoption is approved by the court I will have the duty, just as any other parent, to support the child financially. I acknowledge that this duty of support is absolute and may extend beyond the child's eighteenth (18^th) birthday in accordance with 23 Pa. C.S.A. § 4321. I acknowledge that I will owe this duty of support even if my relationship with the child's other parent ends, regardless of which parent has physical custody of the child, and I may need to make sacrifices to meet this burden.

As evidenced by my signature below, I accept my acknowledged parental duty of financial support for the above-named child.

Date:

______________________________

Adoptive Parent

Berk. Cnty. Pa. 15.13B

Adopted effective 1/12/2024.