F.C.A.§ 813 Form 8-4 (Family Offense--Order of Transfer) 8/2010 At a term of the Family Court of the State of New York, held in and for the County of , at New York, on , . PRESENT: Hon. Judge _____________________________________ Petitioner, -against- Respondent. _____________________________________ Docket No. ORDER OF TRANSFER FOR CRIMINAL PROSECUTION A petition having been filed in this Court by the above named Petitioner under Article 8 of the Family Court Act, a copy of which is annexed hereto; The Petitioner having consented to have the matter prosecuted as a criminal action; and Due notice having been given to the District Attorney who (appeared and was heard) (did not appear); and The Court having determined that the interests of justice require that this matter be prosecuted as a criminal action; it is therefore ORDERED that the within matter be and the same hereby is transferred to the Court of for prosecution as a criminal action; and it is further ORDERED that . American LegalNet, Inc. www.FormsWorkFlow.com Form 8-4 Page 2 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: 9 Order mailed on [specify date(s) and to whom mailed]:________________________ 9 Order received in court on [specify date(s) and to whom given]: _________________ American LegalNet, Inc. www.FormsWorkFlow.com