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Application For Change Of Name Of Minor NCH 21.2 - Ohio

Application For Change Of Name Of Minor Form. This is a Ohio form and can be used in Name Change Probate Lucas County (Court Of Common Pleas) .
 Fillable pdf Last Modified 11/14/2013
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PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE IN RE: CHANGE OF NAME OF (Present Name) TO (Name Requested) CASE NO. __________________________________ APPLICATION FOR CHANGE OF NAME OF MINOR (R.C. 2717.01) The applicant states that the applicant is the parent legal guardian guardian ad litem of the minor and that the minor has been a bona fide resident of __________________________ 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. The applicant states that the name and address of the mother of the minor is: Name Address City State Zip and the name and address of the father or alleged father of the minor is: Name Address City Applicant states that the address of the with reasonable diligence be ascertained. mother State Zip father or alleged father is unknown and cannot There is no person alleged to be the father of the minor. The applicant states that the person for whom a change of name is being requested 1)_____ has has not been convicted of, pleaded guilty to, or been adjudicated a delinquent child initials for identity fraud. 2)_____ initials has a has no duty to comply with R.C. 2950.04 or R.C. 2950.041 because the applicant was convicted of, pled guilty to, or was adjudicated a delinquent child for having committed a sexually oriented offense or a child-victim oriented offense. PAGE 1 OF 2 OF FORM NCH 21.2 ­ APPLICATION FOR CHANGE OF NAME OF MINOR Amended: January 1, 2013 CASE NO.______________ The applicant requests a change of name of the minor from __________________________________ to _________________________________________________________________________________ for the following reason: 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. Attorney for Applicant Typed or Printed Name Address City State Zip Applicant's Signature Typed or Printed Name Address City State Zip Telephone Number (include area code) Attorney Registration No. Telephone Number (include area code) JOURNAL ENTRY SETTING HEARING AND ORDERING NOTICE The Court orders this application set for hearing on the ____ day of ______________________, ________, at ________________ o'clock ___ m. The applicant is ordered to cause notice of the application to be given by one publication in a newspaper of general circulation in this county at least thirty (30) days prior to the hearing date, as well as certified mail service, return receipt requested, if necessary, as required by law. Judge Jack R. Puffenberger By Deputy Clerk PAGE 2 OF 2 FORM NCH 21.2 ­ APPLICATION FOR CHANGE OF NAME OF MINOR Amended: January 1, 2013 American LegalNet, Inc. www.FormsWorkFlow.com
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