D.R.L. §§ 111(3), 111-a(4),115(9) PRESENT Hon. Judge ________________________________ In the Matter of the Adoption of A Child Whose First Name Is At a term of the Court of the State of New York, held in and for the County of at New York, on , . Form 3 (Adoption-Order Directing Service of Notice) 8/2010 Docket No. ORDER DIRECTING SERVICE OF NOTICE ________________________________ A petition for the adoption of the above-named adoptive child having been filed with this Court, and It appearing that notice should be given to the person(s) hereinafter named, it is ORDERED that notice of the filing of said petition requesting an order approving and allowing the adoption be given to: in the following manner: PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. ENTER _____________________________________ Judge of the Family Court Dated: , . Check applicable box: 9Order mailed on [specify date(s) and to whom mailed]:______________________________ 9Order received in court on [specify date(s) and to whom given]:_______________________ American LegalNet, Inc. www.FormsWorkFlow.com