Free Interstate Adoption Putative Father Registry Information - New Hampshire


File Size: 39.0 kB
Pages: 1
Date: December 30, 2008
File Format: PDF
State: New Hampshire
Category: Court Forms - State
Author: NHJB
Word Count: 159 Words, 1,024 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.nh.us/forms/nhjb-2190-fp.pdf

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Instructions

Clear Form

THE STATE OF NEW HAMPSHIRE

JUDICIAL BRANCH

http://www.courts.state.nh.us

Court Name: Case Name: Case Number:
(if known)

INTERSTATE ADOPTION
PUTATIVE FATHER REGISTRY INFORMATION

1. Petitioner name(s) 2. Child's birthplace (city/town and state) 3. Is there a putative father's registry in the child's birth state? Yes No

4. If question #3 above is answered yes, please complete the following information and attach the appropriate fees or other requirements in order for the court to process the search request in the other state: Registry or agency name Mailing address Telephone number
5. If question #3 above is answered no, please list the steps you have taken to determine if a registry exists.



Date

Petitioner Signature

Date

Petitioner Signature

State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any

, County of by
Signature of Notarial Officer / Title

NHJB-2190-FP (10/01/2006) (formerly AOC-082J-003)

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