C-18, EFF. 7/96 IN THE COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS BUTLER COUNTY, OHIO : Case No. : Judge: Plaintiff / 1st Petitioner Defendant / 2nd Petitioner NOTICE OF INTENT TO RELOCATE This form must be mailed to the Compliance Office 30 days prior to any move from your current address. I am a parent of the following minor child(ren): Name Date of Birth Name Date of Birth Name Date of Birth I hereby give notice that I intend to relocate from: (present address) to: (new address) If you do not want your address released to your former spouse, check here and complete the enclosed Supplemental Affidavit (DR-803). NOTE: The Supplemental Affidavit is required only if you want your address withheld from the former spouse. Otherwise, it is not required and should not be returned. Date: Parent Signature 2001 © American LegalNet, Inc.