PROBATE COURT OF BUTLER COUNTY, OHIO IN THE MATTER OF GUARDIANSHIP OF Case No. NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT GUARDIAN OF MINOR To Parent, Known Next of Kin and Person Having Custody [R.C. 2111.04] To Address To Address To Address You are hereby notified that filed in this Court an application for appointment of a (limited) guardian of the (person and estate) of the minor. The application will be for hearing before the Probate Court in The Historic Butler County Courthouse 101 High Street, Second Floor, Hamilton, OH 45011 on the day of , at o'clock . Witness my signature and the seal of the Court, this (Seal) Probate Judge By Deputy Clerk day of , FORM 16.4 - NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT American LegalNet, Inc. GUARDIAN OF MINOR www.FormsWorkFlow.com (TO PARENT, KNOWN NEXT OF KIN AND PERSON HAVING CUSTODY) Amended: March 15, 2016 Discard all previous versions of this form (Reverse of Form 16.4) CASE NO. RETURN County, Ohio , Received this writ on the and on the day of thereof personally to day of , , at o'clock , I served the same by delivering a true copy Fees Service and return, 1 name $ Additional names, at Miles traveled, at st Sheriff Total $ AFFIDAVIT OF SERVICE The State of Ohio, County. , being first duly sworn, says that on the , the within notice was served by delivering a true copy day of thereof personally to , Sworn to before me and signed in my present, this day of , FORM 16.4 - NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT GUARDIAN OF MINOR (TO PARENT, KNOWN NEXT OF KIN, AND PERSON HAVING CUSTODY) Amended: March 15, 2016 Discard all previous versions of this form American LegalNet, Inc. www.FormsWorkFlow.com