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Consent To Adoption 18.3 - Ohio
| Consent To Adoption Form. This is a Ohio form and can be used in Adoption Probate Lucas County (Court Of Common Pleas) . |
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PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE IN THE MATTER OF THE ADOPTION OF (Name after adoption) CASE NO. CONSENT TO ADOPTION [R.C. 3107.06, 3107.08 & 3107.081] 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. (Name before adoption) 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 of ______________________ 20 __. __________________________________________ Person authorized pursuant to R.C. Chapter 3107 To take this acknowledgement __________________________________________ Title 18.3 CONSENT TO ADOPTION 10/1/97 American LegalNet, Inc. www.FormsWorkFlow.com
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