Petition For Validation Of Adoption Finalized In Foreign Country {NHJB-2191-FP}

THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) In the adoption of PETITION FOR VALIDATION OF ADOPTION FINALIZED IN A FOREIGN COUNTRY (RSA 170-B:27) 1. Petitioner name Petitioner name Mailing address 2. Attorney name Mailing address 3. Child Birth Name Place of Birth (town/city and country) 4. The following document is attached to validate this international adoption: An attested or certified copy of the adoptee's Certificate of Citizenship issued by the U.S. Citizenship and Immigration Services. An attested or certified copy of the adoptee's passport issued in his/her country of birth, with the U.S. Visa stamp affixed indicating IH-3 status. An attested or certified copy of the adoptee's passport issued in his/her country of birth, with the U.S. Visa stamp affixed indicating IR-3 status. An attested or certified copy of the adoptee's passport issued in his/her country of birth, with the U.S. Visa stamp affixed indicating IR-2 status. An attested or certified copy of the adoptee's Certificate of Adoption indicating a full and final adoption from his or her country of birth with the U.S. Visa stamp affixed indicating an IR-4 status. Date of Birth Telephone Telephone Telephone Pursuant to the laws of the State of New Hampshire, I/we ask the court to validate this adoption and that the name of the child be NHJB-2191-P (02/03/2012) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case Name: In the adoption of Case Number: PETITION FOR VALIDATION OF ADOPTION FINALIZED IN A FOREIGN COUNTRY I/We request a hearing be held. I/We do not request a hearing be held. Date Petitioner Signature Date Petitioner Signature ORDER Petition is granted; New Hampshire Certificate of Adoption to be issued. The name of the child shall be Petition is denied for the following reason(s): Date Judge NHJB-2191-P (02/03/2012) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com