COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PROBATE COURT OF STARK COUNTY, OHIO JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN RE: CHANGE OF NAME OF(Present Name) TO(Name Requested) CASE NO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CONSENT TO CHANGE OF NAMETHE PEOPLE OF THE STATE OF NEW YORKThe undersigned,[check one of the following 3 capacities by which your consent is given]GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the Honorable,MotherFather Alleged Fatherlocated at County ofo'clock in the day ofnoon, and at any recessed room, on the, 20, at adjourned date, to testify and give evidence as a witness in this action on the part of thehereby waives notice of the hearing on the Application for Change of Name and consents to the change of name of toas proposed in the Application.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 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,Sworn to before me and signed in my presence thisday of.,200(Attorney must sign above and type name below)Deputy Clerk/Notary PublicAttorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comFORM 21.4 -CONSENT TO CHANGE OF NAME11/01/00
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