COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF HAMILTON COUNTY, OHIOCalendar No.JAMES CISSELL, JUDGE JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ADOPTION OF(Name after adoption) CASE NO.STATEMENT OF ADOPTED PERSON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE CHILD NAMED IN THIS ADOPTION IS:THE PEOPLE OF THE STATE OF NEW YORK TOA minor who became available or potentially available for adoption on or before September 18, 1996 (R.C. 3107.39) and at least one of the biological parent(s) consented to the adoption or a probate court entered a finding the biological parent(s) consent was not necessary. A minor who became available for adoption after September 18, 1996 (R.C. 3107.45)GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,EXCLUSIONS FOR ODHS DISCLOSURElocated at County ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of theYour 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 theForeign adoption finalized in another country and re-finalized in Ohio. Foreign adoption finalized in Ohio only. Step-parent adoption. Involuntary surrender/court commitment Other (please specify)Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forJames Cissell, Probate JudgeBy: Deputy ClerkOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:02/10/03American LegalNet, Inc. www.USCourtForms.comH.C. FORM 118.80 -STATEMENT OF ADOPTED PERSON
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