IN THE COURT OF COMMON PLEAS OF WESTMORELAND …
Judge , Westmoreland County Court of Common Pleas, Westmoreland County Courthouse, 2 N. Main Street, Greensburg, PA 15601. IF I AM THE BIRTH MOTHER OF THE CHILD, I UNDERSTAND THAT THIS CONSENT TO AN ADOPTION IS IRREVOCABLE UNLESS I REVOKE IT WITHIN 30 DAYS AFTER EXECUTING IT BY DELIVERING A WRITTEN REVOCATION TO ................
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