IN THE WARREN COUNTY, OHIO COMMON PLEAS COURT PROBATE DIVISION PLACEMENT OF: __________________________________________________ (Name before Placement) CASE NO. _____________________ ENTRY APPROVING PLACEMENT This cause came on to be heard on the application of _________________________, the parent/s of _________________________, for approval of the proposed placement of said child with _________________________ and _________________________ for adoption. Whereupon, there appeared before the Court the child's parent(s), _________________________ and _________________________ I who (was) (were) examined by the Court, and there was submitted to the Court the report of __________________________________________________, an agency qualified to make an independent investigation of the proposed placement. The Court finds, after consideration of the testimony, report and the evidence submitted, that the child is a resident of Warren County, Ohio and that the placement would be in the best interest of the child. It is therefore ORDERED by the Court that the proposed placement be and is hereby approved of record. _________________________________ Judge WCPC 19.7 Eff. 04/04/11 American LegalNet, Inc. www.FormsWorkFlow.com