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Affidavit Of Adopted Person 40.1 - Ohio

Affidavit Of Adopted Person Form. This is a Ohio form and can be used in Adoptions Probate Wood County (Court Of Common Pleas) .
 Fillable pdf Last Modified 6/27/2006
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PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge In the Matter of the ADOPTION of:_____________________________________________________ (Name after adoption) Case No. _____________________________ Date:_______________________ AFFIDAVIT OF ADOPTED PERSON I, _________________________________, being first duly sworn, say that my name after the adoption (Adopted Person's Present Name) proceeding was _________________________________ and that I was born on _______________________ (Adoptive Name) (Date of Birth) in ____________________________________. (Place of Birth: City and State) I hereby request that the Department of Health provide the Wood County Probate Court with a copy of my original certificate of birth and copies of all other papers that may be included in my adoption file. Check appropriate box: c c I have personally appeared and presented two items of identification¹ to the clerk at the time of filing the Petition. I am aware that I must personally appear and present two items of identification¹ to the clerk prior to information being released to me. (Signature of Adopted Person) (Street Address) (City, State, Zip Code) Sworn to before me and subscribed in my presence, this ______ day of _________________, 20____ (Signature of Notary) (Date Commission Expires) (Official Title) ¹As per R.C. 3107.38(A)(2), items of identification include a motor vehicle driver's or commercial driver's license, an identification card issued under R.C. 4507.50 to 4507.52, a marriage application, a Social Security card, a credit card, a military identification card, or an employee identification card. One item of identification must contain a picture. FORM 40.1 - AFFIDAVIT OF ADOPTED PERSON Crensch$\forms \40.1 401 8/23/01 American LegalNet, Inc. www.USCourtForms.com
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