COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::PROBATE COURT OF MONTGOMERY COUNTY, OHIOIndex No.ALICE O. McCOLLUM, JUDGECalendar No.ADOPTION OF(Name after adoption) CASE NO.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)NOTICE OF HEARING ON PETITION FOR ADOPTION Notice shall be served not less than 20 days before the date of the hearing [R.C. 3107.11]To:The Department of Human Services, and to:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Give Names and Addresses)THE PEOPLE OF THE STATE OF NEW YORK TOYou are hereby notified that on theday of,,filed in this Court a Petition For Adoption ofGREETINGS:This Court, change of the name of the minor to, and for , a minor, whose date of birth isWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at the Montgomery County Courts Building, Second Floor, 41 N. Perry Street, Dayton, OH 45422-2155, will hear the petition on theday of, atlocated 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 theo'clockM.It is alleged in the petition, pursuant to R.C. 3107.07, that the consent of(Name) is not required due to the following: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.That person is a parent who has failed without justifiable cause to communicate with the minor for a period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. That person is a parent who has failed without justifiable cause to provide for the maintenance and support of the minor as required by law or judicial decree for a period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. State other grounds under R.C. 3107.07 (includes putative father of the minor born prior to January 1, 1997)., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Alice O. McCollum, Probate Judge By:Deputy ClerkMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com06/12/00FORM 18.2 -NOTICE OF HEARING ON PETITION FOR ADOPTION Page 1 of 2COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CASE NO.:::::::Index No.The State of Ohio, Montgomery County Probate CourtCalendar No.I hereby certify that I caused a copy of the within notice to be mailed, by certified mail, to the last known address ofJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)AtAt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOAlice O. McCollum, Probate JudgeBy:Deputy ClerkGREETINGS:RETURNWE 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 roomCounty, Ohio,day of Received this writ on the, atYour 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 $50 and all damages sustained as a result of your failure to comply.o'clockM., and on theday of. I served the same by ,delivering a true copy thereof personally to, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)FEESSheriffAttorney(s) forDeputy Sheriff Service and return, 1st name,$Additional names, at$Office and P.O. AddressName Miles traveled, at$Telephone No.: Facsimile No.: E-Mail Address:Title Total$Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comFORM 18.2 -NOTICE OF HEARING ON PETITION FOR ADOPTION Page 2 of 2
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