N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VII, subch. B, Adoption Forms, form 8-B
22 NYCRR 207.55(b)(2) Form 8-B
(Affidavit
Identifying Party-
Private-Placement)
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
[FN1]AFFIDAVIT
IDENTIFYING PARTY
(Private-Placement)
________
STATE OF NEW YORK)
)ss.:
COUNTY OF)
[FN2](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 (and who (is) (are) now present before the Court).
______________
Affiant
Sworn to before me this day of, 19.
______________
Judge of the Court
[FN1] Where the affiant is not the attorney of record.
[FN2] Delete if inapplicable
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VII, subch. B, Adoption Forms, form 8-B