COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF HAMILTON COUNTY, OHIOCalendar No.JAMES CISSELL, JUDGEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF(Petitioner) CASE NO.PETITION FOR RELEASE OF ADOPTION INFORMATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The undersigned petitions the Court pursuant to Section 3107.41 of the Revised Code to appoint the appropriate agency to determine whether the Petitioner is an adopted person, and whether or not a Release of Information relating to the Petitioner has been filed with the Department of Health in Columbus, Ohio, by the Petitioner's biological parent(s) and/or siblings.THE PEOPLE OF THE STATE OF NEW YORK TOName on Birth Certificate Date of BirthPlace of Birth(City, County & State) Adoptive Parents' Names:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableMother Father,Date of AdoptionCounty of Adoptionlocated at County of(If known) (If known)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 roomAgency Involved in AdoptionA CERTIFIED COPY OF THE PETITIONER'S BIRTH CERTIFICATE IS ATTACHEDYour 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.Petitioner states that this Court has jurisdiction to hear this Petition because [check appropriate box]:Petitioner is a resident ofCounty Ohio, or Petitioner was adopted in the Probate Court ofCounty, Ohio on or about the or day of, Petitioner is not a resident of the State of Ohio and does not know the name of the probate court in Ohio that issued the final decree of adoption., one of the Justices of theCourt in Witness, Honorableday of, 20 County,A COPY OF PETITIONER'S DRIVER'S LICENSE OR STATE ISSUED ID IS ATTACHED(Attorney must sign above and type name below)Attorney(s) forTyped or Printed Name Typed or Printed NamePetitioner Attorney for PetitionerAddress AddressOffice and P.O. Address)(()Phone Number (include area code) Phone Number (include area code)Telephone No.: Facsimile No.: E-Mail Address:Attorney Registration No.Mobile Tel. No.:02/10/03American LegalNet, Inc. www.USCourtForms.comH.C. FORM 118.60 -PETITION FOR RELEASE OF IDENTIFYING INFORMATION
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