IN THE WARREN COUNTY, OHIO COMMON PLEAS COURT PROBATE DIVISION IN THE MATTER OF THE GUARDIANSHIP OF ______________________________________ CASE NO. _______________ NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT OF 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 the appointment of a (limited) guardian of the (person and estate) of the minor. The application will be for hearing before the Probate Court in _____________________________________ ___________________________________, on the __________ day of ________________________, 20 ______, at ________________ o'clock _______ M. Witness my signature and the seal of the Court, this __________ day of _______________________, 20 ______ (Seal) Probate Judge By ______________________________________________ Deputy Clerk FORM 16.4 - NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR TO PARENT, KNOWN NEXT OF KIN AND PERSON HAVING CUSTODY Amended: March 15, 2016 American LegalNet, Inc. www.FormsWorkFlow.com (Reverse of Form 16.4) CASE NO. _______________ RETURN ________________________ County, Ohio _________________________, 20 _______ Received this writ on the _____ day of __________________, 20 _____ at ______ o'clock ____.M., and on the _______ day of _____________________, 20 ______, I served the same by delivering a true copy thereof personally to _______________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________ ________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 ________________________, 20 _______, the within notice was served by delivering a true copy thereof personally to _______________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Sworn to before me and signed in my presence, this _________ day of _______________________, 20_______ __________________________________________ __________________________________________ FORM 16.4 - NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR TO PARENT, KNOWN NEXT OF KIN AND PERSON HAVING CUSTODY PAGE 2 Amended: March 15, 2016 American LegalNet, Inc. www.FormsWorkFlow.com