Fill and Sign the F C A749 a Form 7 21 Person in Need of Supervision

F. C. A. § 749 (a)Form 7-21 (Person in Need of Supervision – Order ofAdjournment in Contemplation ofDismissal)8/2010At a term of the Family Court of the State of New York, held in and for theCounty of ,at New York,on .P R E S E N T :-------------------------------------------------------------In the Matter of Docket No.A Person Alleged to be a PersonORDER OF ADJOURNMENTIn Need of Supervision,IN CONTEMPLATION OFDISMISSALRespondent.--------------------------------------------------------------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 inneed of supervision; and Notice having been duly given to the Respondent and the Respondent having appearedQ with Q without counsel before this Court to answer the petition; and Notice having been given to [specify name(s) of parent(s) or other person(s) legallyresponsible for Respondent’s care and specify relationship to Respondent]: ; and[Delete if inapplicable]: Respondent having voluntarily, intelligently and knowinglyadmitted in open court that [specify]:[Delete if inapplicable]: This Court having found that the Respondent committed thefollowing act(s) alleged in the petition [specify]: ,IT IS HEREBY ORDERED that the petition is adjourned in contemplation of dismissalupon the following condition(s)[specify]:Upon compliance with this Order, this petition shall be dismissed on [specify date]:.