PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge In the Matter of the PLACEMENT of:___________________________________________________ (Child's name prior to adoption) Case No. _____________________________ JUDGMENT ENTRY FOR BIOLOGICAL PARENT ON PLACEMENT OF CHILD This cause came on to be heard on the application of ________________________________ the parent of ______________________________ for approval of the proposed placement of the child with ________________________________ and _____________________________________ (If unknown, insert "unknown") (If unknown, insert "unknown") for adoption. There appeared before the Court _____________________________________, the parent of ___________________________________ who was examined by the Court, and there was submitted to the Court the report of ___________________________________ who was appointed to make an independent investigation of the proposed placement and the Court finds, after consideration of the testimony, report, and the evidence submitted that the child is a resident of ___________ County, Ohio and has determined that the placement would be in the best interests of the child. It is therefore ordered by the court that the proposed placement be approved of record. Date Journalized:_____________________ _____________________________________ Judge David E. Woessner, Probate Judge FORM 19.2E - JUDGMENT ENTRY FOR BIOLOGICAL PARENT ON PLACEMENT OF CHILD Crensch$\forms\19.2E 192e 5/15/01 American LegalNet, Inc. www.USCourtForms.com