Judicial Consent Of Birth Of Legal Parent To Adoption By Step-Parent)
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Judicial Consent Of Birth Of Legal Parent To Adoption By Step-Parent) Form. This is a New York form and can be use in Adoption Statewide.
Loading PDF...
Tags: Judicial Consent Of Birth Of Legal Parent To Adoption By Step-Parent), 2-Fa, New York Statewide, Adoption
D.R.L. §§115, 115-b(8)
Form 2-Fa
(Judicial Consent of
Birth or Legal Parent to
Adoption by Step-parent)
9/2009
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.
JUDICIAL CONSENT OF BIRTH
OR LEGAL PARENT TO
ADOPTION BY STEP-PARENT
___________________________________
1.
I, [specify name]:
, Q birth Qlegal parent of
[specify first name of child]:
of my Qdaughter Qson, who was born on specify date]:
, adoptive parent.
, residing at
, do hereby consent to the adoption
by [specify name]:
2. The full name and last known address of the other Qbirth Qlegal parent of the adoptive
child are [optional]:
Dated:
____________________________________________/_________________________
QBirth QLegal Parent: type or print name
/ Signature
______________________________________/________________________________
Attorney if any: type or print name
/signature
______________________________________________________________________
Attorney’s Address and Telephone number
State of
)
: ss.:
)
County of
On [specify date]:
, [specify name]:
personally appeared before me. Q He Q She is personally known to me or proved Q his Q her
identity to me by satisfactory evidence as the person whose name is subscribed on this judicial
surrender. Q He Q She acknowledged to me that Q he Q she executed this surrender.
Judge of the
Court
_____________________
(Seal of Court to be
affixed together
with Court Clerk's
certification)
American LegalNet, Inc.
www.FormsWorkFlow.com
