Form 17.4 - Notice Of Hearing For Appointment Of Guardian Of Alleged Incompetent Person Page 2

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(Reverse of Form 17.4)
___________
CASE NO.
RETURN
________________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 (insert, “delivering”,
“leaving”, or “sending”) ___________________________ a true copy thereof (insert, “personally to”, “at the
Usual place of residence”, or “by certified mail to the last known address of”) _________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________
________________________________________
__________Fees________________________
________________________________________
Service and return, 1
st
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_____, the within notice was served by
delivering a true copy thereof personally to _____________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
__________________________________________
Sworn to before me and signed in my presence, this ______ day of __________________________, 20____
__________________________________________
__________________________________________
Print Form
FORM 17.4 NOTICE OF HEARING FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT PERSON
Amended: March 15, 2016
Discard all previous versions of this form

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