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F.C .A . §565 Form 5-4a S.S.L. §I I l-k (O rder-C hallenge to Testing D irective) 8/2010 A t a Term of the Family Court of the State of N ew Y ork, held in and for the C ounty of _________________, at ___________________________, N ew Y ork, on _________________. FA M ILY C O U R T O F TH E STA TE O F N EW Y O R K C O U N TY O F PR ESEN T: H on. _______________________ Judge ................................................... ......................... In the M atter of a Paternity Proceeding Involving D ocket N o. ____________________________________ N am e of C hild ORDER ON MOTION TO CHALLENGE __________________________________________ GENETIC MARKER N am e of M other OR DNA TESTING DIRECTIVE __________________________________________ N am e of A lleged Father N O T IC E : PU R SU A N T T O SE C T IO N 1113 O F T H E FA M IL Y C O U R T A C T , A N A PPE A L FR O M T H IS O R D E R M U ST B E T A K E N W ITH IN 30 D A Y S O F R E C EIPT O F T H E O R D E R B Y T H E A PPE L L A N T IN C O U R T , 30 D A Y S A FT E R SER V IC E B Y A PA R T Y O R T H E A T T O R N E Y FO R T H E C H IL D U PO N T H E A PPE L L A N T , O R 35 D A Y S FR O M TH E D A T E O F M A IL IN G O F T H E O R D E R T O A PPE L L A N T BY T H E C L E R K O F T H E C O U R T , W H IC H E V E R IS E A R L IE ST . A m otion having been filed by _____________________________________challenging th e G enetic M arker or D N A testing directive concerning _____________________________ a child born out of w edlock to_________________________________________________ ___ on ______________________________; and Form 5-4a page 2 N otice of such m otion having been given to (specify) social services official) and the parties having (not) appeared before this c ourt; N O W , after exam ination into the facts and circum sta nces of this matter, and the C ourt having found that it (is in the best interest s of the child to require the parties to subm it to the administration and analysis of such test) (is n ot in the best interests of the child on the basis of ________________________________________________ ________________________ ___________________________________________________ _____________________ ___________________________________________________ _____________________ to require the parties to subm it to the adm inistrat ion and analysis of such test); it is hereby [D elete inapplicable provision]: O R D ER ED , that the m otion of _______________________ _____________ is hereby granted and ___________________________ shal l not be required to subm it to the adm inistration and analysis of a G enetic M arker or D N A tests; );and it is further O R D ER ED , that the m otion of _______________________ _ is hereby denied and s hall be required to subm it to the administration and analysis of a G enetic M arker or D N A tests );and it is further O R D ER ED , EN TER __________________________________ Judge of the Fam ily C ourt D ated: , . C heck applicable box: ” O rder m ailed on [specify date(s) and to w hom m aile d]: _____________________ ” O rder received in court on [specify date(s) and to w hom given]: ______________