PROBATE COURT OF BUTLER COUNTY, OHIO IN THE MATTER OF THE PLACEMENT OF (Current name of child) CASE NO. NOTICE OF HEARING ON APPLICATION FOR PLACEMENT Notice must be served not less than 7 days before the date of the hearing [R.C. 5103.16] To: (Give Names and Addresses) You are hereby notified that on the day of , , , filed in this Court an Application For Placement for purposes of adoption of birth is , a minor whose date of . This Court, located at Butler County Courthouse, 101 High Street, Second Floor, Hamilton, OH 45011 will hear the Application on the day of , , at o’clock .M. Applicant proposes that said child be placed for adoption and states that said placement would be in the best interest of the child. Applicant further alleges that: the mother of the child is deceased. the father of the child is deceased. the mother as established pursuant to R.C. 3111.02(A) has abandoned the child as determined under R.C. 3107.07(A). the father as established pursuant to R.C. 3111.02(A) has abandoned the child as determined under R.C. 3107.07(A). Other Probate Judge By: Deputy Clerk BCPC FORM 321 - NOTICE OF HEARING ON APPLICATION FOR PLACEMENT 5/98 2001 © American LegalNet, Inc. The State of Ohio Butler County, Probate Court I, hereby certify that I caused a copy of the within notice to be mailed, by certified mail, to the last known address of At At Probate Judge By: Deputy Clerk RETURN Butler County, Ohio , Received this writ on the the day of day of , , , at o'clock .M., and on , I served the same by delivering a true copy thereof personally to FEES Sheriff Service and return, 1st name, Deputy Sheriff Additional names, at Miles traveled, at Name Title Total, $ 2001 © American LegalNet, Inc.