COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : COUNTY OF DAKOTA Plaintiff(s) -against- Calendar No. DISTRICT COURT : STATE OF MINNESOTA JUDICIAL SUBPOENA FIRST JUDICIAL DISTRICT : In the Matter of the Petition of : _______________________________________ and FINDINGS OF FACT CONCLUSIONS OF LAW AND ORDER FOR JUDGMENT : : ____________________________________ his wife Defendant(s) ...................................................... Court File Number: _____________________ to adopt ___________________________________ (name desired by adoptive parents) D.H.S. #______________________________ THE PEOPLE OF THE STATE OF NEW YORK TOThe above-entitled action, being one for adoption, came duly on for hearing and was heard before the undersigned, one of the Judges of the above-entitled Court on the ___________________________________ day of ____________________________, 20_____, and was heard in closed Court. ________________________________ GREETINGS: appeared as attorney for the petitioners, and the Court having been fully advised in the premises, finds as follows: WE COMMAND YOU, that allFINDINGS OF FACT laid aside, you and each of you attend before business and excuses being , the Honorable at the Court located at County of I. in room , on the day of , 20 , at o'clock in the noon, and at any recessed That the petitioners are husband and wife, and were married to each other on the ______________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the day of __________________________________, ________, at ________________________________________; That their full and true names are ________________________________________ and _____________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make age ____________________________________ and that they are ______________ and _____________ years ofyou liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a respectively. your failure to comply. result of II. Witness, Honorable , one of the Justices of the That the petitioners have resided in the State of Minnesota for more than one year immediately preceeding the Court in County, day of , 20 filing of the petition in this action. III. (Attorney must sign above and type name below) That petitioners acquired physical custody of the child described in the exhibits on file in this action from _____________________________________________, an agency licensed to place children for adoption, on the _____________________ day of _____________________________, ____________, and that said child has lived in Attorney(s) for petitioner’s home since said date, which is a period of at least three months prior to the filing of this petition. IV. That said child was born on the _______________________ Office and P.O. Address day of ________________________________, _______ in the _________________ of ______________________________, State of _________________________ and that a certified copy of the original birth certificate of said child is on file inNo.: matter and the natural mother of Telephone this Facsimile No.: said child is _____________________________________________________ and the natural father of said child is E-Mail Address: _____________________________________________________. Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : V. : Index No. Calendar No. That the report of the Commissioner of Human Services has been duly presented and considered by the Court : JUDICIAL SUBPOENA Plaintiff(s) and the Commissioner of Human Services has approved the adoption of said child by petitioners and that all other -against: persons required by law to consent to said adoption have properly executed and filed such consents. : VI. : That the home and child are suited to each other and that petitioners are fit and proper persons to have said child with reference to the suitability of their homeDefendant(s) and financial standings, and that it is to the best and characters : ...................................................... interests of said child that ____he be adopted by said petitioners. VII. That all of OF THE STATE OF NEW YORK THE PEOPLEthe allegations contained in the petition on file herein have been fully proven. VIII. TO That the name of said child should be changed to ____________________________________ and to all legal intents and purposes, said child should be the child of petitioners for the purposes in lawful wedlock. _______________________________________________________________________________________________ GREETINGS: WE COMMAND YOU, that CONCLUSIONS OF LAWlaid aside, you and each of you attend before all business and excuses being , the Honorable at the Court located at County of 1. That said child, __________________________________________, born on the the in room , on the day of , 20 , at o'clock in ______________________ day noon, and at any recessed or adjourned date, to testify and give evidence as a witness _________, on the part of the of ______________________________________________,in this action in the ____________________ of _____________________________, State of __________________________________, whose natural mother is ___________________________________ and whose natural father is __________________________________, Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to should be from this date to all legal intentswas issued for the child of the petitioners, _______________________ as a the party on whose behalf this subpoena and purposes, a maximum penalty of $50 and all damages sustained result of your failure to comply. ___________________________________ and __________________________________, that the name of said child should be changed to _______________________________________________, and that a decree of Witness, Honorable , one of the Justices of the adoption should issue. County, Court in day of , 20 LET JUDGMENT BE ENTERED ACCORDINGLY. (Attorney must sign above and type name below) Dated_____________________________ ____________________________________________ Attorney(s) for Judge of District Court Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com