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 16-B - Order for certified copy of adoption order (after sealing of records)

Current through Register Vol. 46, No. 12, March 20, 2024

D.R.L. § 114 Form 16-B

(Order for Certified

Copy of Adoption

Order - After sealing

of records)

12/97

At a term of the Surrogate's Court of the

State of New York, held in and for the

County of ,

at , New York

on , 19

PRESENT

Hon.

Judge

________

In the matter of the Adoption of (Docket)(File) No.

ORDER FOR

A Minor of the Age of years CERTIFIED COPY OF

ADOPTION ORDER

(After sealing of records)

________

UPON reading and filing the application of and

duly verified the day of , 19 , requesting this Court to issue an order authorizing the Clerk of the Court of the County of to prepare, certify and deliver to said applicant(s) a copy of the original order of adoption granted herein; and the Court being satisfied that there is good and proper cause for granting such request; and upon all of the proceedings had herein; it is

ORDERED that the Clerk of the Court of the County of be and (s)he hereby is authorized to prepare, certify and deliver to said applicant(s) a copy of the original order of adoption granted herein.

ENTER

______________

Surrogate

Dated:

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