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Judgement Entry Granting Foreign Birth Record - Ohio
| Judgement Entry Granting Foreign Birth Record 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 PLEAS OF LUCAS COUNTY, OHIO PROBATE DIVISION JACK R. PUFFENBERGER, JUDGE IN THE MATTER OF THE ADOPTION OF: _______________________________________ (Name after Adoption) Case No.: _____________________ JUDGMENT ENTRY GRANTING FOREIGN BIRTH RECORD At the request of the Petitioner(s) who have adopted a child pursuant to a Certified Adoption issued outside of the United States, pursuant to Ohio Revised Code Section 3107.18, it is ORDERED: That the Department of Health issue a foreign birth record for the adopted child. A translation of said foreign birth certificate and foreign decree or certificate of adoption certified as to its accuracy by the translator is attached. An Order that the child's name shall be changed to: The child's birth date shall be revised to reflect a new birth date of _____________________ per recommendation of _______________________________________________. (Physician) . _______________________ Date ______________________________ Judge Jack R. Puffenberger cc: Petitioners FORM ADJEFBR JUDGMENT ENTRY GRANTING FOREIGN BIRTH RECORD EFF. DATE 11/2008 American LegalNet, Inc. www.FormsWorkflow.com
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