PROBATE COURT OF BUTLER COUNTY, OHIO IN THE MATTER OF THE ADOPTION OF (Name after adoption) CASE NO. NOTICE OF HEARING ON PETITION FOR ADOPTION Notice must be served not less than 20 days before the date of the hearing [R.C. 3107.11] To: (Give Names and Addresses) You are hereby notified that on the day of , , filed in this Court a Petition For Adoption of a minor, whose date of birth is , , and for change of the name of the minor to . This Court, located at will hear the petition on the day of , , at o’clock .M. It is alleged in the petition, pursuant to R.C. 3107.07, that the consent of (Name) is not required due to the following: That person is a parent who has failed without justifiable cause to communicate with the minor for a period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. That person is a parent who has failed without justifiable cause to provide for the maintenance and support of the minor as required by law or judicial decree for a period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner. State other grounds under R.C. 3107.07 (includes putative father of the minor born prior to January 1, 1997). Probate Judge By: Deputy Clerk FORM 18.2 - NOTICE OF HEARING ON PETITION FOR ADOPTION 10/97 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, $ Additional names, at $ Miles traveled, at $ Deputy Sheriff Name Title Total $ 2001 © American LegalNet, Inc.