Affidavit of Financial Disclosure Parents (Agency)
If a parent wishes to disclose their financial status in an adoption case in the State of New York, the following affidavit has to be used,
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S.S.L. § 374(6); Form 9-A
22 NYCRR 205.53(b)(8) (Affidavit of Financial
Disclosure - Parents
- Agency)
9/99
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
________________________________
In the Matter of the Adoption of (Docket)(File) No.
A Child whose First Name is
AFFIDAVIT OF
FINANCIAL
DISCLOSURE -
PARENTS
(Agency)
_________________________________
STATE OF NEW YORK)
ss:
COUNTY)
(and )
being duly sworn, depose(s) and say(s):
1. That deponent(s) reside(s) at
and (is)(are)
the (petitioning adoptive parent(s) (birth or legal parent(s)) of the above-named adoptive child; and
2. That deponent(s) (has)(have) paid or given or caused to be paid or given or undertaken to pay or
give the following expenses, contributions, compensation or things of value, either directly or indirectly, to any
person, agency, association, corporation, institution, society or organization, in connection with the placing out
of said adoptive child with deponent(s) or with the adoption of said child by deponent(s):
[Specify recipient, amount, form,
and purpose of each payment. If
none, so state.]
;
3. That deponent(s)(has)(have) requested, received or accepted, either directly or indirectly, the
following compensation or things or value from any person, agency, association, corporation, institution,
Form 9-A page 2
society or other organization in connection with the placing out of said adoptive child with deponent(s) or with
the adoption of said child by deponent(s).
[Specify source, amount, form
and purpose of each payment
requested or received. If none,
so state.]
________________________________________________________/_______________________
*(Adoptive) (Birth)(Legal) Parent: typed or printed name/ signature
_________________________________________________________/______________________
*(Adoptive)(Birth) (Legal) Parent: typed or printed name/ signature
______________________________________/_________________________________________
*Attorney if any: typed or printed name/signature
________________________________________________________________________________
*Attorney’s Address and Telephone number
Sworn to before me this
day of , .
_______________________________
Judge of the Court
______________________________
*Delete inapplicable provisionsRelevant article from our knowledge database The affidavit is usually used while the affiant or the man making the affidavit is not able to be present for any considerable event. Before continuing on to learn how to compose an affidavit letter, it's important to comprehend what an affidavit is. Rather than a letter, there's a printable affidavit of support form on the embassy site.
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Because you'll have a great deal of adding, subtracting, and dividing to do to finish the form, we strongly advise utilizing a calculator. Make certain to go over any issues or questions which you may have in properly completing this form by means of your lawyer. You might not need every one of these forms. The forms might be posted on their website. Or you could need more forms.
Most affidavits require that you list your monthly expenses. It would appear that the very best affidavit is one which merges all three. Many financial affidavits are going to have section at the end where you could explain any other information that wasn't specifically asked. The Financial Affidavit is among the most significant documents you will want to present to the Court in your case. If your state's fiscal affidavit doesn't have this distinctive section, you are able to always attach another sheet of paper with this info.