New York > Statewide > Adoption
Affirmation Regarding Venue 1-E - New York
| Affirmation Regarding Venue Form. This is a New York form and can be used in Adoption Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
D.R.L. ยง113 [This form must be submitted in cases where the adoption petition was filed before a judge other than the judge who heard the most recent Family Court proceeding] Adoption Form 1-E (Affirmation Regarding Venue) (9/2006) FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ......................................................................................... In the Matter of the Adoption of A Child Whose First Name Is: Docket No. AFFIRMATION REGARDING VENUE ..................................................................................... I , [specify name]: , duly admitted to practice law in the State of New York, affirm the following: , an attorney 1. I represent [specify]: , the prospective adoptive parents in the above-entitled proceeding regarding the adoption of [specify child's first name]: 2. Upon information and belief, according to [specify agency having custody or guardianship of child or other source of information]: the child was freed for adoption as follows [check applicable box(es)]: a. The child's birth mother: G surrendered her parental rights in a Gjudicial surrender executed before Judge [specify]: in Family Court, [specify county]: on [specify date]: in Docket # [specify]: Gextra-judicial surrender approved by Judge [specify]: in Family Court, [specify county]: on [specify date]: in Docket # [specify]: G had her parental rights terminated by order of Judge [specify]: in Family Court, [specify county]: on [specify date]: in Docket # [specify]: G is unknown. G is deceased. b. The child's birth father or any other individual entitled to consent to the adoption: G surrendered his parental rights in a Gjudicial surrender executed before Judge [specify]: in Family Court, [specify county]: on [specify date]: in Docket # [specify]: Gextra-judicial surrender approved by Judge [specify]: in Family Court, [specify county]: on [specify date]: in Docket # [specify]: G had his parental rights terminated by order of Judge [specify]: in Family Court, [specify county]: on [specify date]: in Docket # [specify]: G is unknown. G is deceased. American LegalNet, Inc. www.FormsWorkflow.com Adoption Form I-E 3. Upon information and belief, according to [specify agency having custody or guardianship of child or other source of information]: the child's most recent permanency hearing was held before [specify judge or referee] in Family Court, [specify county]: , on [specify date]: Page 2 4. This adoption proceeding has been filed before this Court for the following reasons [check applicable box(es) and explain]: G This Court is more familiar with the facts and circumstances regarding permanency planning for, and the needs and best interests of, this child, because [specify]: G The child's law guardian [specify]: the child in this proceeding. is able to continue to represent G The prospective adoptive parents reside in [specify county] and would find it inconvenient to travel to the Family Court in [specify county]: G This Court will be able to proceed in this matter more expeditiously because [specify]: G Other [specify]: WHEREFORE, for the reasons stated above, I am requesting that this Court retain jurisdiction over this adoption proceeding. __________________________________________ Signature of Affirmant __________________________________________ Affirmant's Name (print or type) __________________________________________ __________________________________________ __________________________________________ Affirmant's Address and Telephone Number American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
