Fill and Sign the Consummation Order and Final Decree Penn Central Bankruptcy Form

S.S.L. §§ 383-c, 384, 384-c Form SURR-2 (Order Directing Service in Proceeding for Approval of Judicial or Extra-judicial Surrender Instrument) (8/2010)At a term of the Family Court of the State of New York, held in and for the County of ,at New Yorkon ,. P R E S E N T: Hon. Judge ___________________________________________ In the Matter of the Application for Approval Docket No. of a Surrender Instrument Pursuant to Section 383-c ORDER DIRECTING SERVICEor 384 of the Social Services Law IN PROCEEDING FOR APPROVAL OFConcerning ❒ JUDICIAL ❒ EXTRA-JUDICIAL SURRENDER INSTRUMENTCIN#Child’s Name:Date of Birth: ____________________________________________ A petition, pursuant to section 383-c or 384 of the Social Services Law, requesting approval ofan instrument of surrender, dated [specify]: , concerning the above-named child having been filed with this Court, and it appearing that notice should be given to the followingperson(s) named below, it is hereby ORDERED that notice of the hearing, together with a copy of the petition filed in this Court,shall be served [specify]: ❒ personally ❒by registered mail ❒by certified mail, return receiptrequested ❒ other [specify]: upon the following person(s) at least 20 days beforethe date set for the hearing: _______________________________________________________________________________ _______________________________________________________________________________PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THISORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANTIN COURT, 35 DAYS FORM THE DATE OF MAILING OF THE ORDER TO APPELLANT BYTHE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEYFOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST.Dated: ,ENTER____________________________________ Judge of the Family Court Check applicable box: ☐ Order mailed on [specify date(s) and to whom mailed ]:___________________________ ☐ Order received in court on [specify date(s) and to whom given]:_____________________