COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF SUMMIT COUNTY, OHIOCalendar No.IN THE MATTER OF CHANGING THE NAME: OFJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)CASE NO. (Present Name)TO(Name Requested)APPLICATION FOR CHANGE OF NAME OF ADULT (R.C. 2717.01). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The applicant states that the applicant is an adult and has been a bona fide resident of Summit County, Ohio, for at least one year immediately prior to the filing of this application. (A copy of the Applicant's Birth Certificate is attached). The Applicant requests a change of name from toTHE PEOPLE OF THE STATE OF NEW YORK TOfor the following reason:GREETINGS:WE 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 ofo'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 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.Your 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 theAttorney for ApplicantApplicant's SignatureCourt in Witness, Honorableday of, 20 County,Typed or Printed NameTyped or Printed Name(Attorney must sign above and type name below)AddressAddressAttorney(s) forCityStateZipStateCityZipTelephone Number (include area code)Telephone Number (include area code)Office and P.O. AddressAttorney Registration No.Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:Form 21.0American LegalNet, Inc. www.USCourtForms.com
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