PROBATE COURT OF WOOD COUNTY, OHIO DAVID E. WOESSNER, JUDGE ADOPTION OF____________________________________________________________________ (Name after adoption) CASE NO.________________________________ NOTICE OF HEARING ON PETITION FOR ADOPTION Notice shall be served not less than 20 days before the date of the hearing [R.C. 3107.11] To: ____________________________________________________________________________________ (Give Names and Addresses) You are hereby notified that on the________day of________________________, _____________________ ___________________, filed in this Court a Petition For Adoption of _________________________________ ___, a minor, whose date of birth is ______________________, and for change of the name of the minor to _____________________________________________________. This Court, located at the Wood County Courthouse, Second Floor, One Courthouse Square, Bowling Green, Ohio 43402, will hear the petition on the ____________ day of ____________________________, ____________ at ____________ o'clock ______.M. It is alleged in the petition, pursuant to R.C. 3107.07, that the consent of_______________________________ (Name) is not required due to the following:  That person is a parent who has failed without justifiable cause to provide more than de minimis contact with the minor for a period of at least one year immediately preceding the filing of the adoption petition or placement of the minor in the home of the petitioner.  That person is a parent who has failed without justifiable cause to provide for the maintenance and support of the minor as required by law or judicial decree for a period of at least one year immediately preceding the filing of the adoption petition or the placement of the minor in the home of the petitioner.  State other grounds under R.C. 3107.07 (includes putative father of the minor born prior to January 1, 1997). ______________________________________________________________________________________ “A FINAL DECREE OF ADOPTION, IF GRANTED,WILL RELIEVE YOU OF ALL PARENTAL RIGHTS AND RESPONSIBILITIES, INCLUDING THE RIGHT TOCONTACT THE MINOR, AND, EXCEPT WITH RESPECT TO A SPOUSE OF THE ADOPTION PETITONER AND RELATIVES OF THAT SPOUSE, TERMINATE ALL LEGAL RELATIONSHIPS BETWEEN THE MINOR AND YOU AND THE MINOR’S OTHER RELATIVES, SO THAT THE MINOR THEREAFTER IS A STRANGER TO YOU AND THE MINOR’S FORMER RELATIVES FOR ALL PURPOSES. IF YOU WISH TO CONTEST THE ADOPTION, YOU MUST FILE AN OBJECTION TO THE PETITION WITHIN FOURTEEN DAYS AFTER PROOF OF SERVICE OF NOTICE OF THE FILING OF THE PETITION AND OF THE TIME AND PLACE OF HEARING IS GIVEN TO YOU. IF YOU WISH TO CONTEST THE ADOPTION, YOU MUST ALSO APPEAR AT THE HEARING. A FINAL DECREE OF ADOPTION MAY BE ENTERED IF YOU FAIL TO FI AN OBJECTION TO THE ADOPTION PETITION OR LE APPEAR AT THE HEARING.” ___________________________________ David E. Woessner, Probate Judge By:_________________________________ Deputy Clerk Page 1 of 2 FORM 18.2 NOTICE OF HEARING ON PETITION FOR ADOPTION American LegalNet, Inc. www.FormsWorkFlow.com 1/1/2010 CASE NO. ____________________ The State of Ohio, Wood County Probate Court I hereby certify that I caused a copy of the within notice to be mailed, by certified mail, to the last known address of _________________________________________________________________________________________ At_______________________________________________________________________________________ _________________________________________________________________________________________ At_______________________________________________________________________________________ ________________________________________________________________________________________ David E. Woessner, Probate Judge By:_______________________________________ Deputy Clerk RETURN _________________________________, County, Ohio ________________________________, __________ Received this writ on the ___________ day of_______________________, ________, at__________________ o'clock_____. M., and on the ______ day of_______________________, _____________, I served the same by delivering a true copy thereof personally to________________________________________________________ ________________________________________________________________________________________ _______________________________ FEES Service and return, 1st name, $ ___________ ______Miles traveled, at $ ___________ _______________________ ___________ Total $ __________ _________________________________________ Deputy Sheriff $___________ ______Additional names, at Sheriff ________________________________________ ________________________________________ Name _____________________________ Title ______________ _________________________________________ Page 2 of 2 FORM 18.2 NOTICE OF HEARING ON PETITION FOR ADOPTION 01/1/2010 American LegalNet, Inc. www.FormsWorkFlow.com