22 CRR-NY D IV B Form 14NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 22. JUDICIARY
SUBTITLE D. FORMS
CHAPTER IV. FORMS OF THE FAMILY COURT OF THE STATE OF NEW YORK AND ADOPTION FORMS OF THE FAMILY COURT OF THE STATE OF NEW YORK (CF. § 205.7)
SUBCHAPTER B. ADOPTION FORMS OF THE FAMILY COURT
ADOPTION FORMS
22 CRR-NY D IV B Form 14
22 CRR-NY D IV B Form 14
14 Certificate of adoption
D.R.L. § 114
 
Form 14
 
Adoption (Certificate of Adoption)
 
9/2005
FAMILY COURT OF THE STATE OF NEW YORK
 
COUNTY OF
CERTIFICATE OF ADOPTION
I,
 
, Clerk of the
 
Court of
 
County, do hereby certify that I have inspected the records of this Court and find that:
AN ORDER OF ADOPTION was signed on the
 
day of
 
, , by Honorable
 
, Judge of the
 
Court of the County of
 
, granting the petition of
 
(and
 
), adoptive parent(s) of a child now known and called by the name of [specify]:
 
, who was born at
 
, on the
 
day of
 
, ;
This certificate as to the facts recited herein shall have the same force and effect as a certified copy of an order of adoption.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of the
 
Court of the County of
 
this
 
day of
 
, .
Clerk of the Court of the County of
22 CRR-NY D IV B Form 14
Current through May 31, 2021
End of Document

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