Interstate Adoption Putative Father Registry Information
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Interstate Adoption Putative Father Registry Information Form. This is a New Hampshire form and can be use in Probate Court Statewide.
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Tags: Interstate Adoption Putative Father Registry Information, NHJB-2190-FP, New Hampshire Statewide, Probate Court
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
INTERSTATE ADOPTION
PUTATIVE FATHER REGISTRY INFORMATION
1. Petitioner name(s)
2. Child’s birthplace (city/town and state)
3. Is there a putative father’s registry in the child’s birth state?
Yes
No
4. If question #3 above is answered yes, please complete the following information and attach the
appropriate fees or other requirements in order for the court to process the search request in the
other state:
Registry or agency name
Mailing address
Telephone number
5. If question #3 above is answered no, please list the steps you have taken to determine if a
registry exists.
Date
Petitioner Signature
Date
Petitioner Signature
State of
, County of
This instrument was acknowledged before me on
My Commission Expires
Affix Seal, if any
NHJB-2190-FP (10/01/2006)
(formerly AOC-082J-003)
by
Signature of Notarial Officer / Title
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