Form 16.4 - Notice Of Hearing On Application For Appointment Guardian Of Minor Page 2
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_______________________ 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
Total,
$________
_____________________________________________
____________________________________
Deputy
AFFIDAVIT OF SERVICE
The State of Ohio, _______________________________ County.
___________________________________________________________, being first duly sworn, says that on the
________ day of _____________________________, 20______, he served the within notice by delivering a true
copy thereof personally to _____________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Sworn to before me and signed in my presence, this _________ day of __________________________, 20_____
________________________________________
________________________________________
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