PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE IN THE MATTER OF THE CHANGE OF NAME FOR: __________________________________ * * * * * CASE NO.:______________________ JUDGMENT ENTRY OF DISMISSAL THE COURT, ON IT'S OWN MOTION, FINDS THAT THE ABOVE CAPTIONED CHANGE OF NAME PETITION SHOULD BE DISMISSED FOR THE FOLLOWING REASON: PETITIONER FAILED TO SUBMIT TO THE PROBATE COURT THE PROOF OF PUBLICATION REQUIRED BY THE NAME CHANGE PROCEDURE. PETITIONER HAS REQUESTED THE DISMISSAL OF THE PETITION FOR CHANGE OF NAME. THERE IS NO LONGER A NEED FOR SAID PETITION. OTHER: IT IS THEREFORE ORDERED THAT THE PETITION FOR CHANGE OF NAME FILED BY __________________________________________________________________________ IS DISMISSED. THE COSTS COLLECTED IN THIS MATTER ARE DETERMINED TO BE ALL OF THE COSTS TO BE ASSESSED IN THIS MATTER. DATE JUDGE JACK R. PUFFENBERGER FORM LCPC-NCH JEODIS ­ JUDGMENT ENTRY OF DISMISSAL American LegalNet, Inc. www.FormsWorkFlow.com