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Get Of The State Of New York

#: M.I. Child's Name: Date of Birth: / / LAST TO THE FAMILY COURT: The undersigned Petitioner respectfully states that: 1. I reside at (specify): 2. The Respondent resides at (specify): 3. The Respondent and I executed the attached Acknowledgment of Paternity concerning the above listed child. You must attach a copy of the Acknowledgment of Paternity or your petition may be dismissed. 4. It has been less than sixty (60) days since the Acknowledgment was signed. It has been more tha.

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