Free Certification of Adoption, CC 17:6 - Nebraska


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State: Nebraska
Category: Court Forms - State
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http://www.supremecourt.ne.gov/forms/county/CC-17-6.pdf

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STATE OF NEBRASKA FORM NO. CC 17:6 NEW 10/06

CASE NUMBER

CERTIFICATION OF ADOPTION
COUNTY, NEBRASKA

IN THE COUNTY COURT OF

IN THE MATTER OF THE ADOPTION OF

CERTIFICATION OF ADOPTION
, a minor.

On the

day of

,

, a Decree of Adoption was

signed by a judge of the the adoption of the records in the

County Court and entered of record in the matter of , which appears as Case Number County Court. of

Date:

By the Court: (Clerk)