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Fill and Sign the In the County Court of Lincoln County Nebraska Form

Fill and Sign the In the County Court of Lincoln County Nebraska Form

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Ne braska State Court Form REQUEST TO OPEN ADOPTION R ECORDSPage 1 of 1 Req uest to Open A doption Records CC 1 7:7 Rev. 03/ 15 SRL Committee IN THE COUNTY COURT OF _________________________ COU NTY, NEBRASKA (County in which adoption was f inalized) REQUEST T O OPEN ADOPTION RECORDS Name on adoption file: Approximate date of adoption: I am requesting my own r ecord(s); I am the parent/legal guardian of the individual requesting records This adoptee is over the age of 24 is NOT over the age of 24 I am requesting copies of: Decree of Adoption Medical Records Other: _________________________ Reason for request: Person r equesting records: Date Signature (Do not sign until a notary is present) Name Street Address/P.O. Box City/State/ZIP Code Phone E-m ail Address Subscribed and sworn to before me this _______ _ day of ___________________, 20_______ ___________________________________________________________ __ Notary Public/Clerk/Magistrate CC 17:7 Rev. 03/15 Neb. Rev. Stat. § 43-113

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