Form 8-A Affidavit Identifying Party (Agency) - New York

Form 8-A is a New York State Unified Court System form also known as the "Affidavit Identifying Party (agency)". The latest edition of the form was released in April 1, 2002 and is available for digital filing.

Download an up-to-date fillable Form 8-A in PDF-format down below or look it up on the New York State Unified Court System Forms website.

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22 NYCRR 205.53(b)(2)
Form 8-A
(Adoption– Affidavit
Identifying
Party-Agency)
4/2002
SURROGATE’S 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
22 NYCRR 205.53(b)(2)
Form 8-A
(Adoption– Affidavit
Identifying
Party-Agency)
4/2002
SURROGATE’S 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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