Affidavit Of Service For Petition For Access To Sealed Adoption Records
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Affidavit Of Service For Petition For Access To Sealed Adoption Records Form. This is a New York form and can be use in Adoption Statewide.
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Tags: Affidavit Of Service For Petition For Access To Sealed Adoption Records, 27-C, New York Statewide, Adoption
D.R.L. §114
Adoption Form 27-C
(Adoption– Affidavit of Service
of Petition for Access to Sealed
Adoption Records)
(9/2006)
[This form must be filed at least two days
before the return date in Court. It must state
the date, time and place of service ]
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
...........................................................................................
In the Matter of the Adoption of
A Child Whose First Name is
(Docket)(File) No.
AFFIDAVIT OF SERVICE
OF PETITION FOR
ACCESS TO SEALED
ADOPTION RECORDS
...........................................................................................
STATE OF
)
COUNTY OF
) SS:
I, [name]:
of [state residence or business address]: having
been duly sworn, deposes and states the following under penalties of perjury:
1. I am over the age of eighteen years.
2. I personally served the Notice of Petition for Access to Sealed Adoption Records on
each person named below, each of whom I knew to be the person mentioned and described in the
Notice, by delivering to and leaving with each of them personally a true copy of the Notice :
Name:
Date and Time served:
Place served:
Physical description of person served: Sex:
Skin color:
Hair color:
Approximate age:
Weight:
Height:
Name:
Date and Time served:
Place served:
Physical description of person served: Sex:
Skin color:
Approximate age:
Weight:
Hair color:
Height:
3. None of the persons named above is in the military service as defined by the Act of
Congress known as the “Soldiers’ and Sailors’ Civil Relief Act of 1940" and the New York
“Soldiers’ and Sailors’ Civil Relief Act.”
Dated
,
.
______________________________________
Affiant
______________________________________
Print or Type Name
Sworn to before me this
day of
,
(Deputy) Clerk of the Court
Notary Public
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