Danny N. Crank, Butler County Recorder Print Form Clear Form Form 67. (Sec. 68). NOTE ­ This notice must be given to the registered owner by the adverse claimant by registered letter with a 5 days return card thereon within 10 days after filing the adverse claim and proof of such service must be filed with the Recorder within 30 days from such filing. Failure to give such notice or failure to make and file the proof of service thereof, will result in the adverse claim being cancelled by the Recorder ­ (Sec. 68). NOTICE OF ADVERSE CLAIM. To __________________________________________________ P.O. ________________________________________________ You are hereby notified that on the _____ day of __________________, 20___, the undersigned filed in the office of the Recorder of Butler County, Ohio, against the registered lands in said County described in the following certificates of title, to wit: Certificate Issued to. Date. Registration Page. No. Book. a claim adverse to you as the registered owner of said lands, the nature and character of which said adverse claim is as follows, to wit: __________________________________ Adverse Claimant By _______________________________ Attorney American LegalNet, Inc. www.FormsWorkFlow.com Danny N. Crank, Butler County Recorder Form 67(a). (Sec. 68). PROOF OF SERVICE State of Ohio __________________ County, SS: __________________________________ being duly sworn says that on the ____ day of _________________, 20___, ______ served a copy of the above notice on _______________________________, the registered owner(s) of the land described therein, by mailing the same to _______ in registered letter with 5 days return card thereon directed to _______ registered address. Affiant attaches hereto and makes a part hereof as "Exhibit A" the postmaster's receipt(s) for said letter(s) dated the ______ day of ______________________, 20___. Said letter(s) has/have not been returned undelivered to affiant although more than 5 days have elapsed since the mailing thereof. ______________________________ Adverse Claimant Sworn to and subscribed before me this _____ day of ___________________, 20_____. ______________________________ _____________________ in and for __________________ County, Ohio. American LegalNet, Inc. www.FormsWorkFlow.com