PROBATE COURT OF BUTLER COUNTY, OHIOIN THE MATTER OF THE PLACEMENT OF(Current name of child) CASE NO.ENTRY ORDERING INDEPENDENT HOME STUDY [R.C. 5103.16(D)(2), R.C. 3107.031]This day this cause came on to be heard upon the Application for Placement filed byfor an independent home study of a proposed (Full name of applicant)placement of a child for purposes of adoption.The Court hereby ordersto make an independent (Agency)home study of the proposed placement to be conducted as provided in section 5103.16(D)(2) and 3107.031 of the Revised Code, and to file a written report of the home study with the Court.The costs of the home study shall be paid by the person seeking to adopt the child.DateProbate JudgeAttorney(Type or Print Attorney's Name)StreetCity, State, Zip CodeTelephone Number (Include area code)4/98BCPC FORM 302 -ENTRY ORDERING INDEPENDENT HOME STUDY2001 © American LegalNet, Inc.
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