I further have been advised that I have a right to obtain supportive counseling. I also have been advised that before I acknowledge or execute this consent, I have a right to be represented by a lawyer of my own choosing and, if I am financially unable to obtain same, a lawyer will be assigned at public cost. I have been advised that this consent becomes irrevocable when executed or acknowledged before a judge or surrogate, and thereafter no action or proceeding may be maintained by me for the custody of the child. I, :, residing at (birth)(legal) parent of :, do hereby consent to the adoption of my son : (by : adoptive parent(s)). NO ACTION OR PROCEEDING FOR THE CUSTODY OF THE ADOPTIVE CHILD MAY BE MAINTAINED BY THE PARENT EXECUTING OR ACKNOWLEDGING THE WITHIN CONSENT. JUDICIAL CONSENT (Birth or Legal Parent - Private-Placement) _ THIS CONSENT BECOMES IRREVOCABLE UPON EXECUTION OR ACKNOWLEDGMENT BEFORE ANY JUDGE OR SURROGATE IN NEW YORK STATE OR A COURT OF COMPETENT JURISDICTION IN ANOTHER STATE HAVING JURISDICTION OVER ADOPTION PROCEEDING(S). ![]() ![]() ยงยง115, 115-b Form 2-F Judicial Consent Birth or Legal Parent Private-Placement) 8/2002 COURT OF THE STATE OF NEW YORK COUNTY OF _ In the Matter of the Adoption of A child whose First Name is Docket No.
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