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Application For Approval Of Placement Form. This is a Ohio form and can be use in Shelby County (Court Of Common Pleas).
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Tags: Application For Approval Of Placement, 118.30, Ohio County (Court Of Common Pleas), Shelby
PROBATE COURT OF SHELBY COUNTY, OHIO
WILLIAM R. ZIMMERMAN, JUDGE
PLACEMENT OF
(Name before placement)
CASE NO.
APPLICATION FOR APPROVAL OF PLACEMENT
Now comes
, and represents that
(mother) (father) and legal parent of
day of
he is the
who was born on the
at
Said applicant states that
he is
years of age and not under any disability.
Applicant proposes to place said child in the home of
and
, who are husband and wife, and whose address is:.
for the purpose of having them adopt said child.
Wherefore, your applicant prays the Court to set a day for hearing on said proposed
placement and that said placement be approved in accordance with law.
Witness
Applicant
Typed or Printed Name
Address
Phone Number (include area code)
H.C. FORM 118.30 - APPLICATION FOR APPROVAL OF PLACEMENT
02/10/03
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