PROBATE COURT OF ______________________ COUNTY, OHIO IN THE MATTER OF THE ADOPTION OF _______________________________________________ (Name after adoption) CASE NO. ____________________ NOTICE OF HEARING ON PETITION FOR ADOPTION Notice must be served not less than 20 days before the date of the hearing [R.C. 3107.11] To: The Department of Human Services, and to:_________________________________________ (Give Names and Addresses) _________________________________________________________________________________ _________________________________________________________________________________ You are hereby notified that on the __________ day of _______________________________ 20_____, ________________________________________________________________________________, 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 _____________________________________________________________________ will hear the petition on the _________ day of ________________________, 20____, 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 communicate with the minor 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. 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). ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Probate Judge_____________________________________ By:_______________________________________________ Deputy Clerk 18.2 NOTICE OF HEARING ON PETITION FOR ADOPTION 10/1/97 American LegalNet, Inc. www.FormsWorkflow.com [Reverse of Form 18.2] The State of Ohio ____________________________________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 _______________________________________________________________________________________ _________________________________________________________________________________________ Probate Judge____________________________ By: ____________________________________ Deputy Clerk 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 $ _________ __________________________________________ Sheriff __________________________________________ Deputy Sheriff ________________________ Total _________ $ _________________________________________ Name __________________________________________ Title _________ ______________________________________ American LegalNet, Inc. www.FormsWorkflow.com