The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

AFFIDAVIT IN SUPPORT OF PETITION FOR
INSPECTION OF RECORDS OF ADOPTION

G.L. c. 210, § 5C

DOCKET NUMBER

Trial Court of Massachusetts
Juvenile Court Department

NAME OF ADOPTED PERSON

DIVISION

ANSWER THE FOLLOWING QUESTIONS

1. The current name of the individual is:

2. My relationship to the individual adopted is:

3. I am applying to examine the adoption records for the following reasons:

________________________________________________________________________________________

ANSWER NUMBERS 4 THROUGH 11, IF KNOWN BY YOU

4. The birth name of the individual is:

5. The birth date of the individual is:

6. The birth mother's name is/was:

7. The birth father's name is/was:

8. The adoptive mother's name is/was:

9. The adoptive father's name is/was:

10. The date and place of the adoption was:

Petitioner's Signature:

Petitioner's Name (printed):

Petitioner's Address:

JV-112 (Rev. 07/31/2013)

11. The circumstances surrounding the adoption were:
________________________________________________________________________________________

________________________________________________________________________________________

Signed under the pains and penalties of perjury this day of , 20 .

Affidavit in Support of Petition for Inspection of Records of Adoption

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.mass.gov (2023-03)
Page(s): 1
Fields(s): 21
Average fields per page: 21
Reading Level: Grade 7
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

transaction_page_set_adopted was transaction[0].#pageSet[0].Page1[0].UntitledSubform[0].Adopted_nm[0] (0.62 conf)
transaction_page_case was transaction[0].Page1[0].case[0] (0.37 conf)
transaction_page_adopted_nm was transaction[0].Page1[0].Adopted_nm[0] (0.42 conf)
transaction_page_current_nm was transaction[0].Page1[0].Current_nm[0] (0.38 conf)
transaction_page_relationship was transaction[0].Page1[0].Relationship[0] (0.38 conf)
page_reason_inspection was transaction[0].Page1[0].Reason_for_Inspection[0] (0.41 conf)
transaction_page_birth_nm was transaction[0].Page1[0].Birth_nm[0] (0.38 conf)
transaction_page_birth_date was transaction[0].Page1[0].Birth_date[0] (0.38 conf)
transaction_page_birth_mo_nm was transaction[0].Page1[0].Birth_mo_nm[0] (0.43 conf)
transaction_page_birth_fa_nm was transaction[0].Page1[0].Birth_fa_nm[0] (0.45 conf)
transaction_page_adoptive_mo was transaction[0].Page1[0].Adoptive_mo_nm[0] (0.41 conf)
transaction_page_adoptive_fa_nm was transaction[0].Page1[0].Adoptive_fa_nm[0] (0.38 conf)
transaction_page_date was transaction[0].Page1[0].Date_of_Adoption[0] (0.39 conf)
transaction_page_circumstances was transaction[0].Page1[0].Circumstances[0] (0.38 conf)
transaction_page_day was transaction[0].Page1[0].Day[0] (0.38 conf)
transaction_page_month was transaction[0].Page1[0].Month[0] (0.38 conf)
transaction_page_year was transaction[0].Page1[0].Year[0] (0.38 conf)
transaction_page_petitioner was transaction[0].Page1[0].Petitioner_nm[0] (0.39 conf)
page_petitioner_address__1 was transaction[0].Page1[0].Petitioner_Address[0].Address[0] (0.38 conf)
page_petitioner_address__2 was transaction[0].Page1[0].Petitioner_Address[0].Address[1] (0.38 conf)
transaction_page_division was transaction[0].Page1[0].Division[0] (0.38 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Affidavit in Support of Petition for Inspection of Records of Adoption

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02