PROBATE COURT OF GEAUGA COUNTY, OHIO JUDGE TIMOTHY J. GRENDELL IN THE MATTER OF THE GUARDIANSHIP OF CASE NO. NEXT OF KIN OF PROPOSED WARD (R.C. 2111.04) (NOTE: Specify age and birthdate of each minor under 16 on the line containing the minor's name. List the name and address of the minor's parent, guardian or custodian on the name and address lines following the minor's address.) Service Waived 1. Name Address 2. Name Address 3. Name Address 4. Name Address 5. Name Address 6. Name Address 7. Name Address 8. Name Address 9. Name Address 10. Name Address Relationship Birthdate of Minor Zip Zip Zip Zip Zip Zip Zip Zip Zip Zip Date Applicant 15.0 NEXT OF KIN OF PROPOSED WARD American LegalNet, Inc. www.FormsWorkFlow.com