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Petition For Release Of Information Form. This is a Ohio form and can be use in Lucas County (Court Of Common Pleas).
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Tags: Petition For Release Of Information, Ohio County (Court Of Common Pleas), Lucas
PROBATE COURT OF LUCAS COUNTY, OHIO
JUDGE JACK R. PUFFENBERGER
PETITION
For Release of Information
IN THE MATTER OF THE ADOPTION OF:
CASE NO. ____________________
_____________________________________
Present Name of Petitioner
I state that I am 21 years of age or older and believe that I am adopted.
Further, that
I am a resident of Lucas County.
I believe the Final Decree of Adoption was entered in Lucas County.
I am not a resident of Lucas County, but I believe the Final Decree was
entered in Lucas County.
I petition this Court for the release of Information regarding my name by birth and the
identity of my biological parent(s) and sibling(s).
To assist the Court in locating your adoption record, please provide a copy of your
Adoption Decree, or the following:
1)
Your adoptive name: ________________________________________________
2)
Adoptive parents’ names: ____________________________________________
3)
The year of adoption and/or Case No.: __________________________________
I have enclosed a check made payable to Lucas County Probate Court in the amount of
$50.00 as a non-refundable fee for this research.
____________________________________
Print Name
____________________________________
Address
____________________________________
City, State, Zip
____________________________________
Phone #
____________________________________
Signature
____________________________________
Date of Birth
____________________________________
Place of Birth (City, State)
Petition for Release of Information
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