PROBATE COURT OF COUNTY, OHIO IN THE MATTER OF THE GUARDIANSHIP OF CASE NO. NEXT OF KIN OF PROPOSED WARD [R.C. 2111.04] (NOTE: Specify age and birthdate of each minor under 16 on the line containing the minor's name. List the name and address of the minor's parent, guardian or custodian on the name and address lines following the minor's address.) Service Waived 1. Birthdate Of Minor Relationship Name Address 2. Zip Name Address 3. Zip Name Address 4. Zip Name Address 5. Zip Name Address 6. Zip Name Address 7. Zip Name Address 8. Zip Name Address 9. Zip Name Address 10. Zip Name Address Zip Date Applicant 15.0 NEXT OF KIN OF PROPOSED WARD American LegalNet, Inc. www.FormsWorkflow.com