COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF MONTGOMERY COUNTY, OHIOCalendar No.ALICE O. McCOLLUM, JUDGEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)GUARDIANSHIP OFCASE NO.APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR (R. C. 2111.03 (C)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Applicant, a resident ofCounty, Ohio, hereby applies for the appointment of (himself) (herself) or some suitable person as guardian of the following minor and represents that the applicant is not an administrator, executor, or other fiduciary of an estate wherein the minor is interested.THE PEOPLE OF THE STATE OF NEW YORK TOName of MinorDate of Birth AgeResidence or Legal SettlementGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableAttached is a list of the next of kin of the minor. (Form 15.0) A guardian is necessary because (R.C. 2111.06),,located 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 theTHE TYPE OF GUARDIANSHIP APPLIED FOR ISNon-limitedLimitedPerson and EstateEstate OnlyPerson OnlyYour 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 $50 and all damages sustained as a result of your failure to comply.IF THE APPLICATION IS FOR LIMITED GUARDIANSHIP,The length (time period) of the guardianship requested is:, one of the Justices of theIndefiniteDefinite to,Court in Witness, Honorableday of, 20 County,The limited powers requested are:(Attorney must sign above and type name below)Applicant attaches affidavit pursuant to R.C. 3109.27.Applicant represents that grounds exist for the Court to exercise its Jurisdiction. (AppliesAttorney(s) forto guardianship of person only. R.C. 3109.22).Office and P.O. AddressThe Applicant has (not) been charged with or convicted of a crime involving theft, physical violence, or sexual, alcohol or substance abuse except as follows (if applicable, state date and place of each charge or each conviction).Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com09/01/91FORM 16.0 -APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR Page 1 of 2COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.CASE NO.Calendar No.The whole estate of said minor is estimated as follows: Personal propertyJUDICIAL SUBPOENA$ Real estatePlaintiff(s) -against-Defendant(s)$ Annual rents$ Other annual incomeTotal $ Applicant offers the attached bond in the amount of $I hereby certify that all the information and statements contained in this application and attached exhibits are correct to the best of my knowledge and belief.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Attorney for ApplicantApplicantTHE PEOPLE OF THE STATE OF NEW YORK TOTyped or printed nameTyped or printed nameStreetStreetZip StateState CityZipCityGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorablePhone number (include area code)Phone number (include area code),located at County ofSupreme Court Registration Numbero'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)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comFORM 16.0 -APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR Page 2 of 2
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