Petition For Adoption Of Minor
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3PROBATE COURT OF _____________________ COUNTY, OHIO
_____________________________, JUDGE
IN THE MATTER OF THE ADOPTION OF _______________________________________
(Name after adoption)
CASE NO. ________________________
PETITION FOR ADOPTION OF MINOR
[R.C. 3107.05]
The undersigned petitions to adopt ______________________________________________________________________,
a minor, and to change the name of the minor to ___________________________________________________________.
PETITIONER
The petitioner states the following:
Full Name:___________________________________________________________________ Age ___________________
Full Name:___________________________________________________________________ Age ___________________
Place of Residence: __________________________________________________________________________________
Street Address
_______
___________________________________________________________________________________________
Post Office
State
Zip Code
Duration of residence
Marital Status:_______________________________ Date and Place of Marriage:_________________________________
Relationship of Minor to Petitioner: _______________________________________________________________________
The petitioner has facilities and resource suitable to provide for the nurture and care of the minor and it is the desire of the
petitioner to establish the relationship of parent and child with the minor.
MINOR TO BE ADOPTED
Birth Name:_______________________________________
Date of Birth: ______________________________
Place of Birth:_____________________________________
Property and Value: _________________________
The minor is living in the home of the petitioner, and was placed therein for adoption on the __________________
day of ____________________, 20____ by _______________________________________________________________.
The minor is not living in the home of the petitioner, and resides at ______________________________________
__________________________________________________________________________________________________.
A certified copy of the birth certificate of the minor is filed with this petition or is not available due to the following:
___________________________________________________________________________________________________
__________________________________________________________________________________________________.
A Preliminary Estimate Accounting (Form 18.9), if required, is filed with this petition.
The minor is in the permanent custody of __________________________________________________________
whose address is ____________________________________________________________________________________.
FORM 18.0 – PETITION FOR ADOPTION OF MINOR
Amended: March 1, 2017
Discard all previous versions of this form
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Parent category: Legal