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Application For Registration Of Foreign Birth Record 118.50 - Ohio
| Application For Registration Of Foreign Birth Record Form. This is a Ohio form and can be used in Adoption Probate Shelby County (Court Of Common Pleas) . |
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PROBATE COURT OF SHELBY COUNTY, OHIO WILLIAM R. ZIMMERMAN, JUDGE IN THE MATTER OF CASE NO. APPLICATION FOR REGISTRATION OF FOREIGN BIRTH RECORD Registrant prays that the fact of birth be established and that the Ohio Department of Health be ordered to issue a foreign birth record of an adopted person in accordance with R.C. 3107.18 as follows: Full Name of Child (at time of adoption) Exact Place of Birth Social Security No. Date of Birth Male Female Full Name of Father Age of Father (at time of this birth) Birthplace of Father Full Maiden Name of Mother Age of Mother (at time of this birth) Birthplace of Mother Registrant has attached the foreign birth record and foreign adoption decree/certificate of adoption and an English translation of both. The registrant being first duly sworn says that the facts stated in the foregoing application are true as he/she verily believes and prays that the Court order the Ohio Department of Health to issue a foreign birth record. Signature of Registrant Printed or Typed Name of Registrant Address ( ) Phone Number (include area code) Sworn to before me and subscribed in my presence this (SEAL) Notary Public H.C. FORM 118.50 - APPLICATION FOR REGISTRATION OF FOREIGN BIRTH RECORD 02/10/03 American LegalNet, Inc. www.FormsWorkflow.com day of , .
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