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Consent To Adoption - Ohio

Consent To Adoption Form. This is a Ohio form and can be used in Adoption Probate Lake County (Court Of Common Pleas) .
 Fillable pdf Last Modified 1/17/2011
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TED KLAMMER, JUDGE PROBATE COURT OF LAKE COUNTY, OHIO ADOPTION OF _________________________________________________________ CASE NUMBER ______________ CONSENT TO ADOPTION The undersigned ________________________________________________________ [check one of the following seven capacities by which your consent is given] Mother Father Putative father who has registered under R.C. 3107.062 (for a minor born on or after January 1, 1997) Putative father (for a minor born before January 1, 1997) Agency having permanent custody Minor, who is more than twelve years of age (this consent must be executed In the presence of the Court) Other _________________________________________________________ hereby waives notice of the hearing on the Petition for Adoption to be filed in the court, and consents to the adoption of ____________________________________________ as proposed in the petition. The undersigned further states that this consent is voluntarily executed irrespective of disclosure of the name or other identification of the prospective adopting parents. ________________________________ Sworn to before me and signed in my presence this _______ day __________________, 20 . ___________________________________ Person authorized pursuant to R.C. Chapter 3107 to take this acknowledgement ___________________________________ Title 18.3 ­ CONSENT TO ADOPTION American LegalNet, Inc. www.FormsWorkFlow.com
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