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

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

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.

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