A.  The petition shall be styled:  “In re _________________, Applying for Private Adoption.”  The petition or an attached exhibit shall state:

(1)  The full name, address, age, occupation, and marital status of each petitioner.

(2)  The name by which the child is known to petitioners as well as the name under which the birth of the child is recorded.

(3)  The place and date of the birth of the child if known; if not known, then the approximate age of the child.

(4)  If known, the name of every parent whose consent to the adoption is required pursuant to Article 1193(1) and (2) and proof of their consent, or the name of every parent and the reason such consent is not required.

(5)  The diligent efforts made in accordance with Article 1135(B), if the alleged father of the child is unknown, which establish that his rights should be terminated in accordance with Article 1135(A).

(6)  The date and circumstances under which the child entered the home of the petitioner.

(7)  Any relationship existing between the petitioner and the child.

B.  The petition shall be accompanied by a certified copy of any order terminating the rights of the child’s parents and if not previously filed, by a current certification for adoption.

Acts 1991, No. 235, §12, eff. Jan. 1, 1992; Acts 1993, No. 634, §1, eff. June 15, 1993; Acts 2003, No. 567, §1.