Case Designation

IN THE COURT OF COMMON PLEAS OF HURON COUNTY, OHIO DESIGNATION FORM TO BE USED BY COUNSEL TO INDICATE THE CATEGORY OF THE CAUSE [LOCAL RULE 15.01(4)] : : Plaintiff(s) vs. : : : : : Defendant(s) : Judge James W. Conway Case No.: Has this case been previously filed and dismissed? If yes, list Case Number and Judge: Pending or Closed Related Case(s)? If yes, list Case Number and Judge: Yes ( ) Yes ( ) No ( ) No ( ) DOMESTIC CATEGORIES: Place (X) in ONE category only ( ) Divorce/Legal Separation with Children: DRA ( ( ( ( ( ( ( ( ( ( ) ) ) ) ) ) ) ) ) ) Divorce/Legal Separation without Children: Dissolution with Children: Dissolution without Children: Change of Custody: Visitation Enforcement/Modification: Support Enforcement/Modification: Domestic Violence: U.I.F.S.A.: Parentage: All Others: DRB DRC DRD DRE DRF DRG DRH DRI DRJ DRK I certify that to the best of my knowledge the within case is not related to any now pending or previously filed case, except as noted above. Firm Name (Print or Type) Address Telephone Attorney of Record (Print or Type) Signature American LegalNet, Inc. www.FormsWorkflow.com