N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VII, subch. B, Adoption Forms, form 8-A
22 NYCRR 207.55(b)(2) Form 8-A
(Affidavit
Identifying
Party-Agency)
12/97
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF
________
In the Matter of Adoption of (Docket) (File) No.
A Child Whose First Name Is
AFFIDAVIT
IDENTIFYING
PARTY
(Agency)
________
STATE OF NEW YORK)
)ss.:
COUNTY OF)
[FN1] (That (s)he is an attorney at law duly licensed to practice under the laws of the State of New York and has (his) (her) office at
;)
That (s)he knows (and) and knows that s(he) (they)(is)(are) the same person(s) described in and who executed the annexed
(iv), CPLR 315 (Order of Publication
______________
Affiant
Sworn to before me this day of, 19.
______________
Judge of the Court
[FN1] Delete if inapplicable
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VII, subch. B, Adoption Forms, form 8-A