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Consent To Adoption 20.06 - Ohio
| Consent To Adoption Form. This is a Ohio form and can be used in Adoption Probate Lucas County (Court Of Common Pleas) . |
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IN THE COURT OF COMMON PL EAS OF LUCAS COUNTY, OHIO PROBATE DIVISION JACK R. PUFFENBERGER, JUDGE IN THE MATTER OF THE ADOPTION OF CASE NO. _________________________ _______________________________________ CONSENT TO ADOPTION (Nam e after adoption) [R.C. 3107.06, 3107.08 & 3107.081] The undersigned ________________________________________________________ __ acities by which your consent is given] [ ] Mother [ ] Father [ ] Putative father who has registered under R.C. 3107.062 (for a minor born on or after January 1, 1977) [ ] Putative father (for a minor born before January 1, 1997) [ ] Agency having permanent custody [ ] Minor, who is more than twelve years of age (this consent must be executed in the presence of the Court) [ ] Other ____________________________________________________________ hereby waives notice of the hearing on the Petition for Adoption to be filed in the Court, and consents to the adoption of ____________________________________________ ___________ as proposed in the petition. (Name before adoption) The undersigned further states that this consent is voluntarily executed irrespective of disclosure of the name or other identification of the prospective adopting parents. __________________________________________ Sworn to before me and signed in m presence this ___ day of ______________________ 20 __. y __________________________________________ Person authorized pursuant to R.C. Chapter 3107 To take this acknowledgement __________________________________________ Title LCPC Form 20.6 (18.3 consent to adoption) American LegalNet, Inc. www.USCourtForms.com
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