Affidavit Of Service For Petition For Access To Sealed Adoption Records {27-C}

D.R.L. §114 [This form must be filed at least two days before the return date in Court. It must state the date, time and place of service ] Adoption Form 27-C (Adoption­ Affidavit of Service of Petition for Access to Sealed Adoption Records) (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)(File) No. AFFIDAVIT OF SERVICE OF PETITION FOR ACCESS TO SEALED ADOPTION RECORDS ........................................................................................... STATE OF ) COUNTY OF ) SS: I, [name]: of [state residence or business address]: having been duly sworn, deposes and states the following under penalties of perjury: 1. I am over the age of eighteen years. 2. I personally served the Notice of Petition for Access to Sealed Adoption Records on each person named below, each of whom I knew to be the person mentioned and described in the Notice, by delivering to and leaving with each of them personally a true copy of the Notice : Name: Date and Time served: Place served: Physical description of person served: Sex: Skin color: Hair color: Approximate age: Weight: Height: Name: Date and Time served: Place served: Physical description of person served: Sex: Skin color: Approximate age: Weight: Hair color: Height: 3. None of the persons named above is in the military service as defined by the Act of Congress known as the "Soldiers' and Sailors' Civil Relief Act of 1940" and the New York "Soldiers' and Sailors' Civil Relief Act." Dated , . ______________________________________ Affiant ______________________________________ Print or Type Name Sworn to before me this day of , (Deputy) Clerk of the Court Notary Public American LegalNet, Inc. www.FormsWorkflow.com