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Petition For Adoption Of Minor 18.0 - Ohio
| Petition For Adoption Of Minor Form. This is a Ohio form and can be used in Adoption Probate Shelby County (Court Of Common Pleas) . |
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PROBATE COURT OF _____________ COUNTY, OHIO ADOPTION OF _______________________________________________________________ (Name after adoption) CASE NO. ______________________________ PETITION FOR ADOPTION OF MINOR [R.C. 3107.05] The undersigned petitions to adopt ______________________________________________, a minor, and to change the name of the minor to _______________________________________________. The petitioner states the following: PETITIONER Full Name: _______________________________________________________ Age __________ Full Name: _______________________________________________________ Age __________ Place of Residence: _______________________________________________________________ Street Address ______________________________________________________________________________ City or Village or Township if unincorporated area Post Office State Zip Code Duration of residence County ______________________________________________________________________________ Marital Status: ______________ Date and Place of Marriage: _______________________________ Relationship of Minor to Petitioner: _______________________________________________________ The petitioner has facilities and resources suitable to provide for the nurture and care of the minor and it is the desire of the petitioner to establish the relationship of parent and child with the minor. MINOR TO BE ADOPTED Birth Name: _____________________________________ Date of Birth: _________________________ Place of Birth: _____________________________ Property and Value: ___________________ The minor is living in the home of the petitioner, and was placed therein for adoption on the _______ day of __________________, 20______ by _________________________________________. The minor is not living in the home of the petitioner, and resides at ________________________________________________________________________________ ______________________________________________________________________________. The minor will be an adopted person as defined in R.C. 3107.39; The minor will be an adopted person as defined in R.C. 3107.45; A certified copy of the birth certificate of the minor is filed with this petition or is not available due to the following: ________________________________________________________________________________ ______________________________________________________________________________. A Preliminary Estimate Accounting (Form 18.9), if required, is filed with this petition. FORM 18.0 PETITION FOR ADOPTION OF MINOR Eff. Date January 1, 2010 American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. _______________________ The minor is in the permanent custody of ____________________________________________ whose address is _________________________________________________________________. The guardian ad litem during the permanent custody proceedings was __________________ ________________ whose address is_________________________________________________. The attorney representing the minor during the permanent custody proceedings was _____________________________whose address is_________________________________________. PERSONS OR AGENCIES WHOSE CONSENT TO THE ADOPTION IS REQUIRED Name:__________________________ Relationship:_________________ Age, if minor_______ Address:_____________________________________________________ Consent filed Name:__________________________ Relationship:_________________ Age, if minor_______ Address:_____________________________________________________ Consent filed _____________________________________________, the agency has permanent custody of the minor filed under ______________________________, ____________________ Consent filed Court County Case No. PERSONS WHOSE CONSENT TO THE ADOPTION IS NOT REQUIRED No person has timely registered pursuant to R.C. 3107.062 as a putative father of the minor born on or after January 1, 1997. Attached is Ohio Department of Human Services Form 1697. A B The consent of __________________________________________________________________ Name Name Address Address Relationship Relationship The consent of __________________________________________________________________ is/are not required because: A B The parent has failed without justifiable cause to provide more than de minimis contact with the minor for a period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. The parent has failed without justifiable cause to provide for the maintenance and support of the minor as required by law or judicial decree for a period of at least one year immediately preceding the filing the adoption petition or the placement of the minor in the home of the petitioner. State other grounds under R.C. 3107.07 (includes putative father of the minor born before January 1, 1997.) ___________________________________________________________________ ___________________________________________________________________ FORM 18.0 PETITION FOR ADOPTION OF MINOR Eff. Date January 1, 2010 American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. _______________________ __________________________________ Attorney for Petitioner ____________________________________ Petitioner __________________________________ Typed or Printed Name ____________________________________ Typed or Printed Name __________________________________ Street Address ____________________________________ Petitioner __________________________________ City State Zip Code ____________________________________ Typed or Printed Name __________________________________ Phone number (include area code) Attorney Registration No. ___________________ ____________________________________ Street Address ____________________________________ City State Zip Code ____________________________________ Phone number (include area code) FORM 18.0 PETITION FOR ADOPTION OF MINOR Eff. Date January 1, 2010 American LegalNet, Inc. www.FormsWorkFlow.com
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