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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 VII. Surrogate's Court Forms |
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Subchapter B. Adoption Forms of the Surrogate's Court |
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Adoption Forms |
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7 Report of investigation (private-placement) |
D.R.L. § 116 Form 7 (Report of Investigation- Private-Placement) 12/97 SURROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF ________________ In the Matter of Adoption of A Child Whose First Name Is (Docket)(File) No. REPORT OF INVESTIGATION (Private-Placement) ________________ TO THE COURT OF THE COUNTY OF ; Pursuant to the order for investigation dated the day of from the Honorable Judge of the Court, I, , do report that I have investigated the allegations set forth in the petition herein and any statements contained in the affidavits required by the Domestic Relations Law. On the basis of such investigation, I respectfully submit the following report: 1. The marital status, family members and history, religious affiliation, if any, of the adoptive parent(s) and adoptive child are: ; 2. The physical and mental health of the adoptive parent(s) and adoptive child are: ; 3. The adoptive parent(s) have an income of and own the following property: 4. The following fees, compensation or other remuneration have been paid or agreed upon with respect to the placement of the child for adoption: To natural parent: To attorney for natural parent: Form 7 page 2 To agency: To attorney for agency: To attorney for adoptive parent: Other (specify): 5. The adoptive parent(s) (has) (have) not been (a) respondent(s) in any proceeding involving children alleged to be neglected, abandoned, abused, delinquent or in need of supervision except: ; 6. The following other facts relating to the familial, social, emotional and financial circumstances of the adoptive parent(s) may be relevant to a determination of adoption: Dated: , 19 . Investigator Petitioner Print or type name Signature of Attorney, if any Attorney's Name (Print or Type) ______________ ______________ Attorney's Address and Telephone Number |