8-A Affidavit identifying party (agency)  


22 NYCRR 205.53(b)(2)
 
Form 8-A
 
(Affidavit
 
Identifying
 
Party-Agency)
 
4/2002
FAMILY COURT OF THE STATE OF NEW YORK
 
COUNTY OF
________________
In the Matter of Adoption of
 
(Docket)(File) No.
 
A Child Whose First Name is
 
 
AFFIDAVIT
 
IDENTIFYING
 
PARTY
 
(Agency)
________________
STATE OF NEW YORK
 
)
 
 
)ss.:
 
COUNTY OF
 
 
)
I [specify name of affiant]:
 
, having been duly sworn, deposes and states the following:
1. [Delete if inapplicable]: I am an attorney at law duly licensed to practice under the laws of the State of New York and have an office at [specify address]:
2. I know [specify name of party]:
 
and I know that □ he □ she is the same person described in and who executed the annexed [specify]:
 
[delete if inapplicable]: and who is now present before the Court.
3. [Delete if inapplicable]: I know [specify name of additional party]:
 
and I know that □ he □ she is the same person described in and who executed the annexed [specify]:
 
[delete if inapplicable]: and who is now present before the Court.
 
Affiant
Sworn to before me this
 
 
day of
 
, .
Judge of the Court