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Petition For Adoption Of Minor Child - Ohio
| Petition For Adoption Of Minor Child Form. This is a Ohio form and can be used in Adoption Probate Cuyahoga County (Court Of Common Pleas) . |
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PROBATE COURT OF CUYAHOGA COUNTY, OHIO JOHN J. DONNELLY, Presiding Judge JOHN E. CORRIGAN, Judge IN THE MATTER OF THE ADOPTION OF (Name after Adoption) CASE NO. PETITION FOR ADOPTION OF MINOR CHILD [R.C. 3107.05] The undersigned petitions to adopt , a minor, and to change the name of the minor to . The petitioner states the following: PETITIONER Full Name: Age: Full Name: Age: Place of Residence: Street Address City or Village or Township if unincorporated area County Post Office State Zip Code Duration of residence Marital Status: Date and Place of Marriage: Relationship of Minor to Petitioner: The petitioner has facilities and resources suitable to provide for the nurture and care of the minor a nd it is the desire of the petitioner to establish the relationship of parent and child with th e minor. MINOR TO BE ADOPTED Birth Name: Date of Birth: Place of Birth: Property and Value: q The minor is living in the home of the petitioner, and was placed therei n for adoption on the day of , 20 by q The minor is not living in the home of the petitioner, and resides at q The minor will be an adopted person as defined in R.C. 3107.39; q The minor will be an adopted person as defined in R.C. 3107.45; A certified copy of the birth certificate of the minor is attached (if not available attach an explanation). A Preliminary Estimate Accounting (Form 18.9), if required, is attached. The minor is in the permanent custody of whose address is 18.0- PETITION FOR ADOPTION OF MINOR 03/00 American LegalNet, Inc. www.USCourtForms.com <<<<<<<<<********>>>>>>>>>>>>> 2 PERSONS OR AGENCIES WHOS CONSENT TO THE ADOPTION IS REQUIRED q Name: Relationship: Age, if minor Address: q Consent filed q Name: Relationship: Age, if minor Address: q Consent filed q , the agency has permanent custody of the minor filed under , q Consent filed Court -County Case No. PERSONS WHOS CONSENT TO THE ADOPTION IS NOT REQUIRED q No person has timely registered pursuant to R.C. 3107.062 as a putative father of the minor born on or after January 1, 1997. Attached is Ohio Department of Human Services Form 1697 . A The consent of Name Address Relationship B The consent of Name Address Relationship is/are not required because: A B q q The parent has failed without justifiable cause to communicate with th e minor for period of at least one year immediately preceding the filing of the adoption petition or the placeme nt of the minor in the home of the petitioner. q q The parent has failed without justifiable cause to provide for the mai ntenance and support of the minor as required by law or judicial decree for a period of at least one year immediately pre ceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. q q State other grounds under R.C. 3107.07 (includes putative father of t he minor born before January 1, 1997.) Attorney for Petitioner Petitioner Typed or Printed Name Typed or Printed Name Street Address Petitioner City State Zip Code Typed or Printed Name Phone Number (include area code) Street Address Attorney Registration No. City State Zip Code Phone Number (include area code) American LegalNet, Inc. www.USCourtForms.com
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