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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 22. Judiciary |
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Subtitle D. Forms |
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Chapter IV. Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) |
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Subchapter A. Forms Authorized by Section 205.7 |
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Juvenile Delinquency Forms (Family Court Act Article 3) |
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3-8 Designated Felony Act petition |
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Secs. 301.2, 310.1, 311.1 F.C.A. Form 3-8 (Juvenile Delinquency) 7/83 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF _________ ________________ In the Matter of Docket No. __ ______ DESIGNATED FELONY ACT PETITION A Person Alleged to be a Juvenile Delinquent, ______ Respondent. ________________ TO THE FAMILY COURT: The undersigned Presentment Agency respectfully alleges that: 1. It is a presentment agency authorized to originate a proceeding under article 3 of the Family Court Act in that it is __, having its principal office at __. 2. Respondent above-named is a (fe)male who was born on __, and resides at __. 3. (Upon information and belief,) (O) (o)n or about __, 19, at _ (A.M.) (P.M.), at __, in the County of __, Respondent, while _ years of age, did __. 4. (Upon information and belief,) (T) (t)here has (have) been (a) prior finding(s) by a court of competent jurisdiction that the Respondent has committed (an) act(s) which if committed by an adult would be: .) 5. The foregoing act of Respondent, if committed by an adult, would constitute the crime of: a. __ as defined by section of the Penal Law, a designated felony act pursuant to section 301.2 of the Family Court Act; b. __ as defined by section of the Penal Law) (__). [Set forth class of felony or misdemeanor for each section.] 6. ((Upon information and belief) (T) (t)he acts inflicted serious physical injury, as that term is defined in subdivision ten of section 10.00 of the Penal Law, upon __ a person who is sixty-two years of age or more.) [Specify as to each count where appropriate.] 7. (The name(s) of other persons who are charged as (co-respondent(s)) (and) (adult(s) in a (criminal) (supreme) court proceeding (is) (are): [Specify as to each count where appropriate.] 8. The following are the names and addresses of the parent(s) or other person(s) legally responsible for the care of Respondent or with whom Respondent resides: NAME RESIDENCE RELATIONSHIP ____ ______ ______ ____ ______ ______ ____ ______ ______ 9. As to the allegations herein made upon information and belief, -the sources of Presentment Agency's information and grounds of belief are (the statements and admissions of Respondent.) (the statements and depositions of witnesses now on file with this Court.) ( __.) 10. Respondent requires (supervision,) (treatment,) (or) (confinement). WHEREFORE, the undersigned prays that the Respondent be adjudged a juvenile delinquent and dealt with in accordance with the provisions of article 3 of the Family Court Act. Dated: ______, 19. Authorized Presentment Agency By Title VERIFICATION (Agency) STATE OF NEW YORK ) ) ss.: COUNTY OF __ ) __, being duly sworn, deposes and says: That (s)he is the __ of __, an agency authorized to originate the above-entitled proceeding, and is acquainted with the facts and circumstances therein; that (s)he has read the foregoing and knows the contents thereof; that the same is true to (his) (her) own knowledge, except as to matters therein stated to be alleged on information and belief and as to those matters (s)he believes it to be true. Name Title Sworn to before me this __ day of __, 19. (Notary Public) |