Notice (Denial Of Withdrawal Of Application Removal Of Child) {21-D}

D.R.L.§115-C S.C.P.A.§1725 Form 21-D (Temporary Guardianship) 12/97 COURT OF THE STATE OF NEW YORK COUNTY OF In the Matter of the Temporary Guardianship of A Child Whose First Name is (Docket) (File) No. NOTICE (Denial of Withdrawal of Application; Removal of Child) TO. PLEASE TAKE NOTICE that on the ( ) the petition of guardianship was denied. ) the petition for adoption filed by (withdrawn) (denied). ) the child, custody of day of 19 : for an order of temporary ( has been ( , has been removed from the physical . ( ) the order dated the day of 19 , granting temporary guardianship of the child, , to has expired without the entry of a final order of adoption. The law requires this notice to be sent to you. You may wish to consult a lawyer about your legal rights at this time. Dated: ,19 . 2001 © American LegalNet, Inc. Form 21-D page 2 CLERK OF THE COURT _______________________________________ Petitioner _______________________________________ Print or type name _______________________________________ Signature of Attorney, if any ___________________________________ Attorney's Name (Print or Type) ___________________________________ ___________________________________ ___________________________________ Attorney's Address and Telephone Number 2001 © American LegalNet, Inc.