C13 Eff. 1/1/2015 Rev. 6/2015 IN THE COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS BUTLER COUNTY, OHIO ______________________________ Plaintiff/1st Petitioner ______________________________ Address ______________________________ vs. ______________________________ Defendant/2nd Petitioner ______________________________ Address ______________________________ : : : : : Case No. _____________________ NOTICE OF INTENT TO RELOCATE WITHIN BUTLER COUNTY A file stamped copy of your form must be received by the Case Management Office thirty (30) days prior to your move from your current address to any other address WITHIN Butler County, Ohio. I, _____________________ am a parent of the following minor child(ren): Name:___________________________ Date of Birth: _______________________ Name: __________________________ Date of Birth: ________________________ Name: __________________________ Date of Birth: ________________________ I intend to relocate from: __________________________________________ (Present Address) __________________________________________ Effective Move Date: To: (New Address) _______________________ __________________________________________ __________________________________________ (Current Phone #) ______________ (New Phone #, if different)______________ American LegalNet, Inc. www.FormsWorkFlow.com IF EITHER PARENT BELIEVES THIS MOVE REQUIRES A CHANGE IN THE PARENTING ORDERS, IT IS THE RESPONSIBILITY OF THAT PARENT TO FILE THE APPROPRIATE MOTIONS. ______________________________________ Moving Parent __________________________ Date CERTIFICATE OF SERVICE I hereby certify that on _______________, 20___ a file stamped copy of this form was mailed to __________________________(plaintiff/defendant) at __________________________________________ (address), the Butler County Domestic Relations Court and the Butler County CSEA. ____________________________ Moving Parent American LegalNet, Inc. www.FormsWorkFlow.com