COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::PC-NC-21.2 (Rev. 7-2001)Index No.FRANKLIN COUNTY PROBATE COURT LAWRENCE A. BELSKIS, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Present NameIN RE: CHANGE OF NAME OF TOCASE NO.Name RequestedAPPLICATION FOR CHANGE OF NAME OF MINOR [R.C. 2717.01]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOThe applicant states that the applicant is theparentlegal guardianguardian ad litem of the minor and thatthe minor has been a bona fide resident of Franklin County, Ohio, for at least one year immediately prior to the filing of this application. A certified copy of the minor's birth certificate is attached.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableThe applicant states that the name and address of the mother of the minor is:,located at County ofNameo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomAddressCityStateZipYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.and the name and address of the father or alleged father of the minor is:Name, one of the Justices of theAddressCourt in Witness, Honorableday of, 20 County,CityStateZipApplicant states that the address of themotherfather or alleged father is unknown and cannot with reasonable(Attorney must sign above and type name below)diligence be ascertained.Attorney(s) forThere is no person alleged to be the father of said minor. The applicant requests a change of name of the minor from tofor the following reason:Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:.Mobile Tel. No.:FORM 21.2 -APPLICATION FOR CHANGE OF NAME OF MINOR11-1-00American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.CASE NO.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)The applicant states that the applicant will cause notice of the application to be published once in a newspaper of general circulation in this county at least thirty (30) days before the hearing on this application. In addition, notice will be given by the applicant to any non-consenting parent or alleged father, whose addresses are known, by certified mail, return receipt requested.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOAttorney or Applicant (Signature)Applicant's SignatureTyped or Printed NameTyped or Printed NameGREETINGS:AddressAddressWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableCity, State, Zip CodeCity, State, Zip Code,located at County ofTelephone Number (include area code)Telephone Number (include area code)o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomAttorney's Registration No.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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