I. A surrender shall state that the individual executing the surrender document acknowledges that the individual’s parental rights over the child will cease upon the court‘s approval of the surrender.
II. A surrender shall further state:

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Terms Used In New Hampshire Revised Statutes 170-B:10

  • Child: means a son or daughter, whether by birth or by adoption. See New Hampshire Revised Statutes 170-B:2
  • Court: means probate court. See New Hampshire Revised Statutes 170-B:2
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Parent: means mother, birth father, legal father, or adoptive parent, but such term shall not include a parent as to whom the parent-child relationship has been terminated by judicial decree or voluntarily surrender. See New Hampshire Revised Statutes 170-B:2
  • Person: means an individual, corporation, government or governmental subdivision or agency, business trust, estate, trust, partnership or association, or any other legal entity. See New Hampshire Revised Statutes 170-B:2
  • state: when applied to different parts of the United States, may extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall include said district and territories. See New Hampshire Revised Statutes 21:4
  • Surrender: means the release of all parental rights, including but not limited to care, custody, and control of the child, by a parent, legal guardian, or agency. See New Hampshire Revised Statutes 170-B:2

(a) An acknowledgement that after the surrender is executed in substantial compliance with 170-B:9, it is final and except under a circumstance stated in 170-B:12, may not be revoked or set aside for any reason, including the failure of an adoptive parent to comply with an arrangement or understanding reached with the birth parent with respect to the post-surrender exchange of identifying or non-identifying information, communication, or contact.
(b) An acknowledgement that the surrender will extinguish all parental obligations, except the obligation to pay any accrued unpaid child support.
(c) That the person executing the surrender has:
(1) Been informed of counseling services available through child placing agencies pursuant to RSA 170-E.
(2) Been provided legal counsel, consistent with N.H. Rev. Stat. § 170-B:9, I and N.H. Rev. Stat. § 170-B:13, I, unless waived with approval of the court for good cause shown.
(d) That the person executing the surrender has not received or been promised any money or anything of value for the surrender, except for payments permissible under 170-B:13.
(e) Whether the person executing the surrender has been informed of the identity of the adoptive parents.
(f) Whether the child is an Indian child as defined in the Indian Child Welfare Act, 25 U.S.C. § 1901 et seq.
(g) Whether the person who is surrendering wishes to be notified that a final decree of adoption has been entered.
(h) That the person who is surrendering has read and understands the content of the document, any questions the person has asked have been answered by the court or its designee, and the person wishes the surrender to take effect.