Statement Of Use, Sale, Non-Existence Of

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§1:130 Information & Instructions: Disclosure Statement Regarding Combined
Termination and Adoption
1.
This form documents the fact that the attorney has disclosed important
information about the adoption process, and presents the adoptive parent with an form for
making a decision regarding the dilemma presented to the client and attorney regarding
the possible revocation of the affidavit of relinquishment after the expiration of the 60
day period.
2.
By using this form, you will document the fact that you have informed your client
about the limitations or restrictions set forth in the law governing the revocation of an
affidavit of relinquishment by a natural parent.

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