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Petition For Adoption Of Minor (Trumbull) 18.0 - Ohio
| Petition For Adoption Of Minor (Trumbull) Form. This is a Ohio form and can be used in Adoption Trumbull County (Court Of Common Pleas) . |
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PROBATE COURT OF TRUMBULL COUNTY, OHIO THOMAS A. SWIFT, JUDGE IN THE MATTER OF THE ADOPTION OF ______________________________________________ (Name after adoption) CASE NO. _____________________ PETITION FOR ADOPTION OF MINOR (R.C. 3107.05) The undersigned petitions to adopt_____________________________________________________________________ A minor, and to change the name of the minor to __________________________________________________________ The petitioner states the following: PETITIONER Full Name: _______________________________________________________________________________________ Full Name: _______________________________________________________________________________________ Place of Residence:________________________________________________________________________________ Street Address ________________________________________________________________________________________________ City or Village or Township if unincorporated area County -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Post Office State Zip Code Duration of residence Marital Status: _________________ Date and Place of Marriage: ____________________________________________ Relationship of Minor to Petitioner: _____________________________________________________________________ The petitioner has facilities and resources suitable to provide for the nurture and care of the minor and it is the desire of the petitioner to establish the relationship of parent and child with the minor. MINOR TO BE ADOPTED Birth Name: ______________________________________ Date of Birth: _____________________________________ Place of Birth: ____________________________________ Property and Value:_________________________________ The minor is living in the home of the petitioner, and was placed therein for adoption on the _________ day of ________________________ ________ by _____________________________________________________________ The minor is not living in the home of the petitioner and resides at _____________________________________ ________________________________________________________________________________________________ The minor will be an adopted person as defined in R.C. 3107.39; The minor will be an adopted person as defined in R.C. 3107.45; A certified copy of the birth certificate of the minor is filed with this petition or is not available due to the following: _________________________________________________________________________________________________ A Preliminary Estimate accounting (Form 18.9), if required, is filed with this petition. The minor is in the permanent custody of ________________________________________________________________ Whose Address is ___________________________________________________________________________ 18.0 - PETITION FOR ADOPTION OF MINOR 10/01/97 American LegalNet, Inc. www.USCourtForms.com (Reverse of Form 18.0) PERSONS OR AGENCIES WHOSE CONSENT TO THE ADOPTION IS REQUIRED Name: _______________________________ Relationship: _____________________ Age, if minor _______ Address: _______________________________________________________________ Consent Filed Name: ___________________________ Relationship: ___________________ Age, if minor _______ Address: _______________________________________________________________ Consent Filed ___________________________________________, the agency has permanent custody of the minor filed under _________________________________, ____________________________ Court - County Case No. Consent Filed PERSONS WHOSE CONSENT TO THE ADOPTION IS NOT REQUIRED No person has timely registered pursuant to R.C. 3107.062 as a putative father of the minor born on or after January 1, 1997. Attached is Ohio Department of Human Services from 1697. A B The consent of _____________________________________________________________________________ Name Address Relationship The consent of _____________________________________________________________________________ Name Address Relationship Is/are not required because: The parent 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. The parent 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 before January 1, 1997.) _______________________________________________________________________________________ _______________________________________________________________________________________ _____________________________________________ Attorney for Petitioner _____________________________________________ Typed or Printed Name _____________________________________________ Street Address _____________________________________________ City State Zip Code _____________________________________________ Phone Number (include area code) Attorney Registration No. ________________________ ___________________________________________ Petitioner ____________________________________________ Typed or Printed Name ____________________________________________ Petitioner ____________________________________________ Typed or Printed Name ____________________________________________ Street Address ____________________________________________ City State Zip Code ____________________________________________ Phone Number (include area code) 18.0 - PETITION FOR ADOPTION OF MINOR 10/01/97 American LegalNet, Inc. www.USCourtForms.com AB
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