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Application For Placement By Relative 20.03B - Ohio
| Application For Placement By Relative Form. This is a Ohio form and can be used in Adoption Probate Lucas County (Court Of Common Pleas) . |
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PROBATE COURT OF LUCAS COUNTY, OHIO JUDGE JACK R. PUFFENBERGER IN THE MATTER OF THE ADO PTION OF CASE NO. ____________________ _______________________________________ APPLICATION FOR PLACEMENT BY RELATIVE(S) Applicant(s) reside at __________________________________________ in _________________ County, and are related to the above child as the (paternal/m_______. The child waternal) _____________________as born at ___________________________ Hospital at ________ oclock __.m. on the ____ day of ____________________, 20___. Applicant(s) state that the birth parents are _______________________ and _______________________ and are either deceased or have abandoned the child as determined under Section 3107.07A of the Ohio Revised Code. Applicant(s) request the Court to place captioned child with them for purposes of adoption. Applicant(s) further state that this placement will be in the best interest of the child, because the adoptive family will be able to provide personal care advantages and financial assistance, and pray that the placement be approved. Applicant Applicant Sworn to before me and signed in my presence this ____ day of ___________________, 20____. Notary Public/Deputy Clerk LCPC FORM 20.03-B American LegalNet, Inc. www.USCourtForms.com
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