Fill and Sign the Get the Drl 114 Adoption Form 27 C Adoption Affidavit

D.R.L. §114Adoption Form 27-C [This form must be filed at least two days (Adoption– Affidavit of Service before the return date in Court. It must state of Petition for Access to Sealed the date, time and place of service ] Adoption Records) (9/2006) FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF........................................................................................... In the Matter of the Adoption of (Docket)(File) No. A Child Whose First Name is AFFIDAVIT OF SERVICE OF PETITION FOR ACCESS TO SEALED ADOPTION RECORDS ........................................................................................... STATE OF ) COUNTY OF ) SS: I, [name]: of [state residence or business address]: having been duly sworn, deposes and states the following under penal ties of perjury: 1. I am over the age of eighteen years. 2. I personally served the Notice of Petition for Access to Sealed Adoption Records on each person named below, each of whom I knew to be the person mentioned and described in the Notice, by delivering to and leaving with each of them personally a true copy of the Notice : Name: Date and Time served: Place served: Physical description of person served: Sex: Skin color: Hair color: Approximate age: Weight: Height: Name: Date and Time served: Place served: Physical description of person served: Sex: Skin color: Hair color: Approximate age: Weight: Height: 3. None of the persons named above is in the military service as defined by the Act of Congress known as the “Soldiers’ and Sailors’ Civil Relief Act of 1940" and the New York “Soldiers’ and Sailors’ Civil Relief Act.”Dated , . ______________________________________Affiant ______________________________________ Print or Type Name Sworn to before me this day of , (Deputy) Clerk of the Court Notary Public