IN THE WARREN COUNTY, OHIO COMMON PLEAS COURT PROBATE DIVISION IN THE MATTER OF THE 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 ______________________________________________________ known to reside in this state. You are hereby notified that on the ___________ day of _____________________________, 20________, _________________________________________________________________________________________ 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 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 17.4 - NOTICE OF HEARING FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT PERSON Amended: March 15, 2016 American LegalNet, Inc. www.FormsWorkFlow.com (Reverse of Form 17.4) 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 (insert, "delivering", "leaving", or "sending") ___________________________ a true copy thereof (insert, "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 _________________, 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 17.4 - NOTICE OF HEARING FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT PERSON PAGE 2 Amended: March 15, 2016 American LegalNet, Inc. www.FormsWorkFlow.com