COURT 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CONSENT TO CHANGE OF NAMEThe undersigned (check one of the following 3 capacities by which your consent is given)THE PEOPLE OF THE STATE OF NEW YORK TOG MotherG FatherGREETINGS:G Alleged FatherWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,hereby 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.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 roomYour 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 theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Sworn to before me and signed in my presence this., 20day ofAttorney(s) forNotary PublicOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:Form 21.4American LegalNet, Inc. www.USCourtForms.com
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