F. C. A. § 749 (a) Form 7-21 (Person in Need of Supervision ­ Order of Adjournment in Contemplation of Dismissal) 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: ------------------------------------------------------------In the Matter of Docket No. A Person Alleged to be a Person In Need of Supervision, ORDER OF ADJOURNMENT IN CONTEMPLATION OF DISMISSAL Respondent. -------------------------------------------------------------The petition of under Article 7 of the Family Court Act, sworn to on , having been filed in this Court alleging that the above-named Respondent is a person in need of supervision; and Notice having been duly given to the Respondent and the Respondent having appeared Q without counsel before this Court to answer the petition; and Q with Notice having been given to [specify name(s) of parent(s) or other person(s) legally responsible for Respondent's care and specify relationship to Respondent]: ; and [Delete if inapplicable]: Respondent having voluntarily, intelligently and knowingly admitted in open court that [specify]: [Delete if inapplicable]: This Court having found that the Respondent committed the following act(s) alleged in the petition [specify]: , IT IS HEREBY ORDERED that the petition is adjourned in contemplation of dismissal upon the following condition(s)[specify]: Upon compliance with this Order, this petition shall be dismissed on [specify date]:. American LegalNet, Inc. www.FormsWorkFlow.com