Free Instructions - New Hampshire

Instructions for completing Interstate Adoption Putative Father Registry Information (NHJB-2190-FP)

Form use. RSA 170-B:6 requires the person filing a petition for an interstate adoption to also file this form with the court to tell the court the name and location of the putative father registry in the state where the child was born. Top part of form ·COURT NAME: Enter the name of the county probate court where the document will be filed. (example: Belknap County Probate Court; Rockingham County Probate Court). ·CASE NAME: Enter the birth name of the child who will be adopted (example: Adoption of John Adams; Adoption of Susan Jones). ·CASE NUMBER: Leave blank if not yet assigned by court OR fill in case number if it is known. Numbered part of form 1. Petitioner Name is the name of the person(s) filing the petition. Enter the name(s) of each person. Child's birthplace (city/town and state) is the city/town and state of the place of birth of the child who will be adopted. Check off one box ­ yes or no ­ to indicate if there is a putative father's registry in the child's birth state. If question #3 above is answered yes, on the lines provided enter the Registry or agency name, the complete mailing address including zip code, and the telephone number.

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Signature section This form must be signed in the presence of a Notary Public or Justice of the Peace. They will complete the section immediately following your signature. You will sign the form on the Petitioner's Signature line, and date it in the appropriate space to the left. If there are two petitioners, both petitioners must sign and date the form.

Review the completed form for accuracy prior to filing it with the court. If completing this form on-line, some fields may be filled in automatically based on entries in other fields. If more space is needed for any question, please attach additional sheets of paper.

NHJB-2190-FP Instructions (06/26/2007)

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