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H E L P I N G P E O P L E H E L P T H E M S E L V E S Legal-Eaze™ International Adoption Specialists LLC www.Legal-Eaze.com Legal Form Preparation Without a Lawyer International Adoption Document and Authentication Specialists |


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Cut and paste into your word processing program
Your Name Address Telephone Number
Date
TO WHOM IT MAY CONCERN:
We are in the process of adopting a child from [specify which country] and hereby authorize Ms. Patti Urban, Mr. Chris P. Moore, Ms. Chandra Moore, or any other employee or agent of Legal-Eaze International Adoption Specialists LLC to obtain vital records for us, including but not limited to, birth/death/marriage/divorce certificates.
The vital records are to be released to the above-named authorized recipient(s) or sent directly to Legal-Eaze International Adoption Specialists LLC at either 366 Amsterdam Avenue, Suite 275, New York, NY 10024, or 290 Willow Road, Guilford, CT 06437.
Enclosed are photocopies of appropriate photo identifications (driver’s license or passport) for each of us.
If you have any questions or need any additional information, please do not hesitate to contact us.
Sincerely,
Husband’s Name Wife’s Name
STATE OF _____________________) COUNTY OF _____________________)
On this day of , 200__, before me personally appeared the within named and , to me known and known to me to be the individuals described in and who executed the foregoing and acknowledged that they executed the same.
____________________________________ Notary Public
LEGAL-EAZE/vital records authorization/web
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Vital Records Authorization |
Use this Sample as a Guide |

