22 NYCRR 205.53(b)(2) COURT OF THE STATE OF NEW YORK COUNTY OF .................................................................................. In the Matter of Adoption of A Child Whose First Name Is Form 8-A (Adoption­ Affidavit Identifying Party-Agency) 4/2002 (Docket)(File) No. AFFIDAVIT IDENTIFYING PARTY (Agency) ................................................................................... STATE OF NEW YORK COUNTY OF ) )ss.: ) I [specify name of affiant]: the following: , having been duly sworn, deposes and states 1. [Delete if inapplicable]: I am an attorney at law duly licensed to practice under the laws of the State of New York and have an office at [specify address]: 2. I know [specify name of party]: and I know that Q he Q she is the same person described in and who executed the annexed [specify]: [delete if inapplicable]: and who is now present before the Court. 3. [Delete if inapplicable]: I know [specify name of additional party]: and I know that Q he Q she is the same person described in and who executed the annexed [specify]: [delete if inapplicable]: and who is now present before the Court. _____________________________ Affiant Sworn to before me this day of , ________________________________ Judge of the Court American LegalNet, Inc. www.USCourtForms.com