COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PROBATE COURT OF MONTGOMERY COUNTY, OHIOALICE O. McCOLLUM, JUDGE JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ADOPTION OF(Name after adoption) CASE NO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PETITION FOR ADOPTION OF ADULTTHE PEOPLE OF THE STATE OF NEW YORK TOThe undersigned respectfully petitions the Court for permission to adopt, an adult, andto have the adult's name changed toGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Petitioner says (s)he may adopt the adult because the adultlocated 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 theYour 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.is totally and permanently disabled. is determined to be a mentally retarded person. has established a child-foster parent or child-stepparent relationship with the petitioner as a minor., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Typed or Printed Name Typed or Printed NamePetitioner Attorney for Applicant(Attorney must sign above and type name below)AddressAddressAttorney(s) forPhone Number (include area code) Phone Number (include area code)Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com09/01/90FORM 19.0 -PETITION FOR ADOPTION OF ADULT
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