Certification Of Family Court Judge Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certification Of Family Court Judge Form. This is a New York form and can be use in Appellate Division Appellate Courts.
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STATE OF NEW YORK
FAMILY COURT
COUNTY OF
In the Matter of a Proceeding for
Petitioner,
-against-
CERTIFICATION
OF FAMILY
COURT JUDGE
PURSUANT TO
ยง 1022.12(c)
Respondent.
Pursuant to Section 1022.12(c) the Supreme Court Rules, Fourth Department, Supreme
,
Court of the State of New York, the undersigned,
Family Court Judge, hereby approves the fee requested in the total sum of $_________________
as more particularly specified in the attached law guardian voucher submitted by
Attorney
dated
; and the Court specifically
certifies that the circumstances this case are stated in the attached affidavit of said Attorney.
Dated:
Honorable _________________________
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