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 5 - Order of publication
D.R.L. §§ 111(3), S.C.P.A. 307(2)(a) Form 5
(iv), CPLR 315 (Order of Publication
Agency)
12/97
At a term of the Court of the
State of New York, held in and for the
County of ,
at New York,
on, 19.
P R E S E N T
Hon.
Judge
________
In the Matter of the Adoption of (Docket)(File) No.
A Child whose First Name Is
ORDER OF
PUBLICATION
________
Upon reading and filing the petition herein duly verified on
applying for the adoption of the above-named person and upon the affidavit of
duly sworn to on and it appearing to the ascertained, it is hereby
ORDERED, that service of a copy of a notice of application for adoption be made upon
by publication thereof in (one) (two) newspaper(s), to wit: in the
published in the County of
, State of (and in the
published in the County of
State of, (once)[FN1] (not less than once in each of four successive weeks)[FN2], the (first) publication to be made at least days before the return day fixed in the said notice of application for adoption; and it is further
(ORDERED that on or before the day of first publication the petitioner deposit in a post office or in any post office box regularly maintained by the government of the United States in the State of New York a copy of said notice of application for adoption, contained in a securely closed, post-paid wrapper, directed to said at
that being last known address of said person.)
(ORDERED that the mailing of said notice of application for adoption is hereby dispensed with, the Court being satisfied by said petition and affidavit that the petitioner cannot with reasonable diligence ascertain a place or places where the said would probably receive the matter transmitted through the post office.)
ENTER
______________
(SURROGATE)
Date:
[FN1] S.C.P.A. § 307(2)(a)(iv)
[FN2] CPLR § 315 et seq.
