PROBATE COURT OF MONTGOMERY COUNTY, OHIO GUARDIANSHIP OF: _________________________________________________________ CASE NO.: _______________ NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT GUARDIAN OF MINOR To Parent, Known Next of Kin and Person Having Custody [R.C. 2111.04] To Address To Address To Address You are hereby notified that ____________________________________________________ filed in this Court an application for appointment of a (limited) guardian of the (person and estate) of the minor. The application will be for hearing before Montgomery County Probate Court, 41 North Perry Street, Dayton, Ohio, 45422, Second Floor, Courtroom ________, on the _________ day of _____________________________ 20 , at o'clock .M. Witness my signature and the seal of the Court, this (Seal) day of ,20 Alice O. McCollum, Probate Judge By: Deputy Clerk FORM 16.4 NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT GUARDIAN OF MINOR TO PARENT, KNOWN NEXT OF KIN AND PERSON HAVING CUSTODY American LegalNet, Inc. www.FormsWorkFlow.com Amended: March 15, 2016 Discard all previous versions of this form CASE NO. _______________ RETURN County, Ohio 20 Received this writ on the .M. and on the day of day of , 20 , 20 , at o'clock , I served the same a true copy thereof (insert by (insert, "delivering", "leaving", or "sending") "personally to", "at the usual place of residence", or "by certified mail to the last known address of") FEES Service and return, 1st name Additional names, at Miles traveled, at $ $ $ Total $ Sheriff Deputy AFFIDAVIT OF SERVICE The State of Ohio, County. , being first duly sworn, says that on the day of thereof personally to , 20 , the within notice was served by delivering a true copy Sworn to before me and signed in my presence, this day of , 20 FORM 16.4 NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT GUARDIAN OF MINOR TO PARENT, KNOWN NEXT OF KIN AND PERSON HAVING CUSTODY American LegalNet, Inc. www.FormsWorkFlow.com Amended: March 15, 2016 Discard all previous versions of this form