New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter VII - Surrogate's Court Forms
Subchapter B - Adoption Forms Of The Surrogate's Court
Adoption Forms
Form 14 - Certificate of adoption

Universal Citation: 22 NY Comp Codes Rules and Regs ยง 14
Current through Register Vol. 46, No. 39, September 25, 2024

D.R.L. § 114 Form 14

(Certificate of Adoption)

12/97

SURROGATE'S COURT OF THE STATE OF NEW YORK

COUNTY OF

CERTIFICATE OF ADOPTION

I,, Clerk of the

Court of County, do hereby certify that I have inspected the records of this Court and find that:

AN ORDER OF ADOPTION was signed on the day of, 19, by Honorable, Judge of the Court of the County of, granting the petition of (and), adoptive parent(s) of a child now known and called by the name of, who was born at, on the day of, 19.

This certificate as to the facts recited herein shall have the same force and effect as a certified copy of an order of adoption.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of the

Court of the County of

this day of, 19.

______________

Clerk of the Court

of the County of

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