Affidavit And Request For Service By Publication

PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE IN THE MATTER OF THE ADOP TION OF CASE NO. _____________ ____________________________________ AFFIDAVIT AND (Full name after the adoption) REQUEST FOR SERVICE BY PUBLICATION I, ___________________________________________________ state the following: 1. A Petition for Adoption was filed in the above-captioned case. 2. __________________________ and __________________________ are the biological parents of the minor(s) seeking to be adopted. 3. The following attempts have been made in trying to locate the biological father/mother: . 4. The usual place of residence of said , a biological parent, is unknowand cannot with reasonable diligence n be ascertained. Therefore, this is a case which warrants service by publication pursuant to Ohio Civil Rule 73(E)(6), and petitioner(s) request that notice be made by publication upon sai d . Date: Petitioner(s) Sworn to before me and subscribed in my presence this ____ day of ________________________, 20____. Notary Public FORM AFFIDAVIT AND REQUEST FOR SERVICE BY PUBLICATION American LegalNet, Inc. www.USCourtForms.com