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Affidavit Identifying Party (Private Placement)

For an adoption case that is taking place in the State of New York, the following affidavit has to be used for identifying all parties that are involved in the adoption case.

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22 NYCRR 205.53(b)(2)      Form 8-A
 (Adoption– Affidavit
 Identifying
 Party-Agency)
       4/2002
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
..................................................................................
In the Matter of Adoption of (Docket)(File) No.
A Child Whose First Name Is
    AFFIDAVIT 
IDENTIFYING
PARTY
            (Agency)
...................................................................................
STATE OF NEW YORK )
)ss.:
COUNTY OF )
I [specify name of affiant]:                                   , having been duly sworn, deposes and states
the following:
1.   [Delete if inapplicable]:   I  am  an attorney at law duly licensed to practice under the laws
of the State of New York and have an office at [specify address]:
2.  I know [specify name of party]:
                                     and  I   know that  	
Q he   	Q she is  the same person described in and who
executed  the annexed [specify]:  [delete if inapplicable]:  and who is
now present before the Court.
3.  [Delete if inapplicable]:  I know [specify name of additional party]:
                                     and  I   know that  	
Q he   	Q she is  the same person described in and who
executed  the annexed [specify]:  [delete if inapplicable]:  and who is
now present before the Court.
_____________________________
Affiant
Sworn to before me this
day of        ,
________________________________
Judge of the                           Court
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