Form 21.2 - Application For Change Of Name Of Minor - Probate Court Of Summit County Page 2
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1
2CASE NO.
Minor was born in
,
,
City
County
State
The applicant requests a change of name of the minor from
to
for the following reason:
I understand that I must cause notice of my application to be published once in a newspaper of general circulation in
this county at least thirty (30) days before the hearing. In addition, notice must be given to any non-consenting parent
or alleged father, whose addresses are known, by certified mail, with return receipt requested. I will bring proof of
certified mail service to the Court.
Attorney for Applicant’s Signature
Applicant’s Signature
Attorney for Applicant’s Type or Print Name
Applicant’s Type or Print Name
Address
Address
City
State
Zip
City
State
Zip
Telephone Number (include area code)
Telephone Number (include area code)
Attorney Registration No.
JOURNAL ENTRY SETTING HEARING AND ORDERING NOTICE
The Court orders this application set for hearing on the
day of
, 20
,
at
o’clock
.m. This hearing will be held in Probate Court, Summit County Courthouse,
209 South High Street, Akron, Ohio 44308.
The applicant must publish notice of the hearing in the Akron Legal News. Publication must be
completed at least 30 days before the hearing. If notice of the hearing is not properly completed, the
hearing will be rescheduled.
The Applicant must appear at the hearing and be prepared to show proof of reasonable and
proper cause for the name change.
IT IS SO ORDERED.
JUDGE ELINORE MARSH STORMER
By:
_________________________________
Deputy Clerk
FORM 21.2 – APPLICATION FOR CHANGE OF NAME OF MINOR
Page 2 of 2
Rev. 02/02/2017
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