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D.R.L. §§ 112(7), 113Form 6-A (Adoption--Order for Investigation-Agency) 12/97 At a term of the Court of the State of New York, held in and for the County of , at New York, on ,19 . P R E S E N T: Hon. Judge ____________________________________ In the Matter of Adoption of (Docket)(File) No. A Child Whose First Name Is ORDER FOR INVESTIGATION _____________________________________ UPON reading and filing the petition, agreement of adoption and consents and other papers submitted herein, it is ORDERED that be and hereby is designated and appointed to investigate the truth and accuracy of the allegations of the petition; and it is further ORDERED that said investigator shall ascertain as fully as possible and incorporate in a report such other factors relating to the adoptive child and the adoptive parents as will give the court adequate time for determining the propriety of approving the adoption; and it is further ORDERED that within thirty (30) days of the date of this order, unless this Court shall grant an extension of such period for good cause shown, said investigator shall make a Form 6 Page 2 written report of such investigation and submit the same to this Court; (and it is further ORDERED ENTER _______________________ SURROGATE Date: ,19 .