PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE GUARDIANSHIP OF: CASE NO.: NOTICE OF HEARING FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT PERSON To Spouse and Known Next of Kin [R.C. 2111.04] To Address To Address To Address next of kin of state. You are hereby notified that on the day of , 20 , , known to reside in this filed in the Court an application for the appointment of a (limited) guardian of the (person and estate) of , an alleged incompetent. The application will be for hearing before Montgomery County Probate Court, 41 North Perry Street, Dayton, Ohio, 45402, Second Floor, Courtroom , 20 , at , on the o'clock day of .m. Witness my signature and the seal of the Court, this day of , 20 (Seal) ALICE O. McCOLLUM, PROBATE JUDGE By: Deputy Clerk FORM 17.4 NOTICE OF HEARING FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT PERSON 6/1/16 American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. ____________________ RETURN County, Ohio 20 Received this writ on the o'clock .m. and on the day of day of , 20 , 20 ,at , I served a true copy the same by (insert, "delivering", "leaving", or "sending") address of") thereof (insert "personally to", "at the usual place of residence", or "by certified mail to the last known FEES Service and return, 1st name Additional names, at Miles traveled, at $ $ $ Sheriff Total $ Deputy AFFIDAVIT OF SERVICE The State of Ohio, County. , being first duly sworn, says that on the day of copy thereof personally to , 20 , the within notice was served by delivering a true Sworn to before me and signed in my presence, this day of , 20 FORM 17.4 NOTICE OF HEARING FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT PERSON 6/1/16 American LegalNet, Inc. www.FormsWorkFlow.com