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Fill and Sign the Fillable Online Nycourts Form 10 B Supplemental Affidavit

Fill and Sign the Fillable Online Nycourts Form 10 B Supplemental Affidavit

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22 NYCRR 205.53(b)(2) Form 8-A (Adoption– Affidavit Identifying Party-Agency) 4/2002 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF .................................................................................. In the Matter of Adoption of (Docket)(File) No. A Child Whose First Name Is AFFIDAVIT IDENTIFYING PARTY (Agency) ................................................................................... STATE OF NEW YORK ) )ss.: COUNTY OF ) I [specify name of affiant]: , having been duly sworn, deposes and states the following: 1. [Delete if inapplicable]: I am an attorney at law duly licensed to practice under the laws of the State of New York and have an office at [specify address]: 2. I know [specify name of party]: and I know that Q he Q she is the same person described in and who executed the annexed [specify]: [delete if inapplicable]: and who is now present before the Court. 3. [Delete if inapplicable]: I know [specify name of additional party]: and I know that Q he Q she is the same person described in and who executed the annexed [specify]: [delete if inapplicable]: and who is now present before the Court. _____________________________ Affiant Sworn to before me this day of , ________________________________ Judge of the Court

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