This is the certificate for an NY All-Purpose Notary Acknowledgement for any document to be attached OR you can type in the proper wording yourself into your document.
Request to Enforce, Change, End Contact After Adoption Agreement
Adoption Form 1-E (Affirmation Regarding Venue)
Form 10-B (Supplemental Affidavit Private-Placement)
Form 24 (Certification as Qualified Adoptive Parent)
Form 3 (Adoption-Order Directing Service of Notice)
Verification of Compliance with Hague Adoption Convention Attachment
Form 2-A (Agreement of Adoption and Consent -- Agency)