F.C.A.§ 542 ; Art. 5-B Form 5-7 (Paternity-Order of Filiation) 8/2010 At a term of the Family Court of the State of New York, held in and for the County of , at New York on ,. P R E S E N T: Hon. Judge/Support Magistrate ........................................................................................... In the Matter of a Paternity Proceeding (Commissioner of Social Services, Assignee, on behalf of ,Assignor) Petitioner, S.S.#: xxxx-xx-againstRespondent. S.S.#: xxxx-xx........................................................................................... Docket No. ORDER OF FILIATION [Check box if by default]: G By Default NOTICE: IF YOU WERE NOT IN COURT FOR THE HEARING AND THIS ORDER WAS ISSUED ON DEFAULT, YOU MAY OBJECT OR CHALLENGE THE ORDER BY FILING A MOTION TO VACATE THE ORDER. IF YOU WERE IN COURT FOR THE HEARING AND THIS ORDER IS ENTERED BY A JUDGE, PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, OR 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, WHICHEVER IS EARLIEST. IF YOU WERE IN COURT FOR THE HEARING AND THIS ORDER IS ENTERED BY A SUPPORT MAGISTRATE, SPECIFIC WRITTEN OBJECTIONS TO THIS ORDER MAY BE FILED WITH THIS COURT WITHIN 30 DAYS OF THE DATE THE ORDER WAS RECEIVED IN COURT OR BY PERSONAL SERVICE, OR IF THE ORDER WAS RECEIVED BY MAIL, WITHIN 35 DAYS OF THE MAILING OF THE ORDER. The above-named Petitioner having filed a petition, sworn to , , alleging American LegalNet, Inc. www.FormsWorkFlow.com Form 5-7 Page 2 that is the father of a Gmale Gfemale child named [insert child's name and social security number] , born out of wedlock to on [insert child's date of birth] , , (and that the Gmother Gfather and/or child is or is likely to become a public charge; and The Respondent having Gappeared G not appeared to answer the petition and the Respondent having G denied Gadmitted the allegations of the petition; and The issues having duly come on to be heard before this Court. NOW, after examination and inquiry into the facts and circumstances of the case and after hearing the proofs and testimony offered in relation thereto; it is ADJUDGED AND DECLARED that [father's name] is the father of [child's name] [Check box if applicable]: G AND IT IS FURTHER ORDERED THAT [specify]: . ENTER _____________________________________ Judge of the Family Court/Support Magistrate Dated: , Check applicable box: 9 Order mailed on [specify date(s) and to whom mailed ]:__________________________ 9 Order received in court on [specify date(s) and to whom given]:____________________ American LegalNet, Inc. www.FormsWorkFlow.com