F.C.A.§ 302.3 Form 3-1 (Juvenile Delinquency-Order on Motion for Change of Venue) 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 _________________________________ In the Matter of A Person Alleged to be a Juvenile Delinquent, Respondent. _________________________________ A petition under Article 3 of the Family Court Act having been filed in this Court with respect to the above-named Respondent, and A motion having been filed with this Court by the Q Presentment Agency Q Respondent on [specify date]: , requesting an order transferring this proceeding from the Family Court of County to the Family Court of County; and This Court, having examined the papers and affidavit (s) filed herein [Check box, if applicable]: Q and having heard testimony in relation thereto; and the following having appeared [check applicable box(es)]: Q the Presentment Agency Q the Respondent Q with Q without counsel, finds that [specify]: Docket No. ORDER ON MOTION FOR CHANGE OF VENUE NOW therefore, it is hereby ORDERED, that the motion of the Q Presentment Agency Q Respondent is [check applicable box(es)]: Q DENIED Q with Q without prejudice; and it is further Q GRANTED and this proceeding together with all pleadings and papers heretofore filed or made a part of the record are hereby transferred to the Family Court of [specify]: County for such further action as may be deemed appropriate. American LegalNet, Inc. www.FormsWorkFlow.com Form 3-1 page 2 AND IT IS FURTHER ORDERED THAT [specify]: 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