COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE PROBATE COURT OF MAHONING COUNTY, OHIOCalendar No.JUDGE TIMOTHY P. MALONEYJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF A CHANGE OF NAME FOR , A MINOR(Present Name)TO: (Name Requested)CASE NO. APPLICATION FOR CHANGE OF NAME OF MINOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .[R. C. 2717.01; Local Rule 75.3(B)]THE PEOPLE OF THE STATE OF NEW YORK TOThe applicant is the G parent G legal guardian G legal custodian or G (other) of the Minor and that the Minor has been a bona fide resident of MAHONING County, Ohio, for at least one year immediately prior to the filing of this application. A certified copy of the Minor's birth certificate and other proof of the applicant's status is attached. G The applicant states that the name and address of the mother of the minor is: NameAddressGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Citylocated at County ofStateZipo'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 roomThe name and address of the father or alleged father of the minor is:GNameAddressCityYour 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.StateZip, one of the Justices of theCourt in Witness, Honorableday of, 20 County,G Applicant states that the address of the G mother G father or alleged father is unknown and cannot with reasonable diligence be ascertained. An affidavit and proof in support of this statement is attached. G(Attorney must sign above and type name below)There is no person alleged to be the father of said minor. An affidavit and proof in support of this statement is attached. The applicant requests a change of name of the minor from (Present Name)to for the following reason:(Name Requested)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Form 21.2 M.C.Revised 03-20-02Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)The applicant states that the applicant will cause notice of the hearing upon this application to be published once in a newspaper of general circulation in this County at least thirty (30) days before such hearing. In addition, notice of such hearing will be given by the applicant to any non-consenting parent or alleged father, whose address is known, by certified mail, return receipt requested. As to a parent whose identity or address is allegedly unknown, the applicant states that he/she will direct that such additional notice of hearing be published once each week for three consecutive weeks in a newspaper of general circulation in this County, the final publication of which shall appear at least 30 days before the hearing on this application, pursuant to Civ. R. 73(E)(6). The applicant shall file each such proof of service of notice with the Court.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Attorney for ApplicantApplicant's SignatureTHE PEOPLE OF THE STATE OF NEW YORK TOTyped or Printed NameTyped or Printed NameFull Address (No P. O. Boxes)Full Address (No P. O. Boxes)GREETINGS:CityStateZipCityStateZipWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofTelephone (Include area code)Telephone (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 Registration No. JOURNAL ENTRY SETTING HEARING AND ORDERING NOTICEYour 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.The Court orders this application set for hearing on the day of , 20, at O'clock . M., one of the Justices of theCourt in Witness, Honorableday of, 20 County,G The applicant is Ordered to cause notice of the application to be given once by publication in a newspaper of general circulation in this County, at least 30 days prior to the hearing date.G The applicant shall also serve notice of the hearing by certified mail, return receipt requested, upon a non-consenting parent(s), whose address is known.(Attorney must sign above and type name below)G The applicant shall, when alleging that the identity or location of a natural parent(s) is unknown, file an affidavit for notice by publication, as required by Local Rule 75.3(B).Attorney(s) for Hon. Timothy P. Maloney, JudgeOffice and P.O. AddressBy:Deputy ClerkTelephone No.: Facsimile No.: E-Mail Address:Form 21.2 M.C.Revised 03-20-02Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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