Ohio Probate Form - Notice Of Petition For Court Ordered Protective Services Page 2
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1
2CASE NO.__________________________
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
________________________,___________
Received this notice 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
Sheriff
_______________________________
st
Service and return, 1
name, $ _____
____________________________________
Deputy Sheriff/Process Server
Additional names, at
$ _____
Miles traveled, at
$ _____
____________________________________
Name
___________________
$ _____
____________________________________
Total
$ _____
Title
_______________________________
Print Form
FORM 23.1 – NOTICE OF PETITION FOR COURT ORDERED PROTECTIVE SERVICES
Eff. Date: January 1, 2010
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