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Affidavit Of Service 5.4 - Ohio

Affidavit Of Service Form. This is a Ohio form and can be used in Disinterment Probate Mahoning County (Court Of Common Pleas) .
 Fillable pdf Last Modified 11/13/2013
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IN THE PROBATE COURT OF MAHONING COUNTY, OHIO JUDGE MARK BELINKY IN THE MATTER OF THE DISINTERMENT OF:______________________________, DECEASED CASE NO.: _________________ AFFIDAVIT OF SERVICE [R.C. 517.24(B)(2)(c)(d)] The undersigned Applicant hereby states that all persons required to receive notice as provided in R.C. ยง517.24 (B)(2)(a) have either been notified that an application to disinter the Decedent's remains has been filed, have waived notice, or their names or places of residence are unknown to the applicant and cannot with reasonable diligence be ascertained. Said waivers and/or evidence of notification are attached hereto, including copies of the return receipts for certified mail. The following persons did not receive notice:* ______________________________________ Name/Status ______________________________________ Name/Status ______________________________________ Name/Status __________________________________ Attorney Signature Applicant's Signature Typed Name Full Address (No P. O. Boxes) City, State, Zip Telephone (Include area code) _______________________________________ Reason _______________________________________ Reason _______________________________________ Reason _____________________________ Typed Name _____________________________ Full Address (No P. O. Boxes) _____________________________ City, State, Zip _____________________________ Telephone (Include area code) Attorney Registration No. ________________ Dated: _________________________________ Sworn to and subscribed before me a notary public on this ________ day of ________________, 20______. (Seal) (*Attach additional sheets, if necessary.) _____________________________________ Notary Public/Deputy Clerk M.C. Form 5.4 American LegalNet, Inc. www.FormsWorkFlow.com
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