Judge _ In the Matter of the Application for Approval of an Extra-judicial Surrender Instrument Concerning Child's Name: Date of Birth: Docket No. Law §§ 383-c, 384 Form SURR-6 (Surrender Order Approving or Disapproving Extra-judicial Surrender Instrument) (8/2010) At a term of the Family Court of the State of New York, held in and for the County of, at New York, on.
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