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Application For Approval Of Placement 19.5 - Ohio

Application For Approval Of Placement Form. This is a Ohio form and can be used in Adoption Probate Warren County (Court Of Common Pleas) .
 Fillable pdf Last Modified 1/30/2012
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IN THE WARREN COUNTY, OHIO COMMON PLEAS COURT PROBATE DIVISION PLACEMENT OF:_________________________________________________ (Name before Placement) CASE NO. _______________________ APPLICATION FOR APPROVAL OF PLACEMENT Now comes ___________________________________, and represents that she/he is the (mother) (father) and legal parent of ____________________________ who was born on the ______ day of ____________, _______ at ___________________________________. applicant states that she/he is _____ years of age and not under any disability. Said Applicant proposes to place said child in the home of _____________________________ and ___________________________, who are husband and wife, and whose address is: _____________________________________________ for the purpose of having them adopt said child. Wherefore, your applicant prays the Court to set a day for hearing on said proposed placement and that said placement be approved in accordance with law. ___________________________________ Witness ____________________________________ Applicant ____________________________________ Typed or Printed Name ____________________________________ Address ____________________________________ ___________________________________ Phone No. [Include Area Code] WCPC 19.5 Eff. 04/04/11 American LegalNet, Inc. www.FormsWorkFlow.com
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