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Petition For Adoption Of Minor 18.0 - Ohio
| Petition For Adoption Of Minor 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 JACK R. PUFFENBERGER, JUDGE 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: __________________________________________________________________ Age ____________ Full Name: __________________________________________________________________ Age ____________ 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: ____________________________________ Place of Birth: __________________________________ Date 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 _______________________________, 20____ 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. (Page 1 of 3) FORM 18.0 PETITION FOR ADOPTION OF MINOR Eff. Date March 1, 2008 American LegalNet, Inc. www.FormsWorkflow.com CASE NO. _________________________ The minor is in the permanent custody of ____________________________________________________________ whose address is _______________________________________________________________________________. The guardian ad litem during the permanent custody proceedings was _____________________________________ whose address is _______________________________________________________________________________. The attorney representing the minor during the permanent custody proceedings was __________________________ _____________________________________________________________________________________________ whose address is _______________________________________________________________________________. 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 ______________________________, _______________________________. Consent filed. Court - County Case Number PERSONS WHOSE CONSENT TO THE ADOPTION IS NOT REQUIRED A B 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 Form 1697. The consent of ___________________________________________________________________________ Name Address Relationship The consent of ___________________________________________________________________________ Name Address Relationship is/are not required because: B immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. A The parent has failed without justifiable cause to communicate with the minor for a period of at least one year 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.) ________________________________________________________________________________________ ________________________________________________________________________________________ (Page 2 of 3) FORM 18.0 PETITION FOR ADOPTION OF MINOR Eff. Date March 1, 2008 American LegalNet, Inc. www.FormsWorkflow.com CASE NO. _________________________ ____________________________________ 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) «BEQ29/11- (Page 3 of 3) FORM 18.0 PETITION FOR ADOPTION OF MINOR Eff. Date March 1, 2008 American LegalNet, Inc. www.FormsWorkflow.com
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