Fill and Sign the Apopka Chief University of Florida Form

F.C.A§ 516 Form 5-11(Petition - Approval ofAgreement) (9/2005)FAMILY COURT OF THE STATE OF NEW YORKCOUNTY OF..............................................................................................In the Matter of the Petitionfor Approval of an Agreement Docket No.betweenPETITION(Approval of Agreement)Petitioner S.S.#andRespondentS.S.#Pursuant to Section 516 of theFamily Court Act..............................................................................................TO THE FAMILY COURT:The above named Petitioner respectfully shows that:1.Petitioner resides at2.Respondent resides at3.A (male)(female) child (was born) (is about to be born) to the (Petitioner) (Respondent)out of wedlock on or about , , and said child resides with atThe name, age, date of birth, and social security number of the child involved are:NameAge(Date of Birth)Social Security #4. Petitioner and Respondent have entered into an agreement dated ,compromising and settling the claim of the Petitioner for support and education of and a true copy of said agreement is annexed hereto and madepart hereof.5.Petitioner and Respondent have consented to the entry of an order approving thisagreement. Form 5-11 page 26.No previous application has been made to any court or judge for the relief herein requested(except [specify]: )WHEREFORE, Petitioners requests that the agreement annexed to this petition be approvedand confirmed pursuant to Section 516 of the Family Court Act and its terms incorporated and made apart thereof. Petitioner Print or type name Signature of Attorney, if any Attorney’s Name (Print or Type) Attorney’s Address and Telephone NumberSTATE OF NEW YORK))ss.:COUNTY OF) , above named, being duly sworn, deposes and saysthat (s)he is the Petitioner in the within action, that (s)he has read and knows the contents of theforegoing Petition; that the same is true to (his) (her) own knowledge, except as to the matter thereinstated to be alleged on information and belief, and that as to those matters (s)he believes it to be true.Sworn to before me this)day of ) Petitioner (Deputy) Clerk of the Court Notary Public