Adoption Certificate For Parents
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1PROBATE COURT OF _______________________ COUNTY, OHIO
IN THE MATTER OF THE ADOPTION OF _______________________________________________
(Name after adoption)
CASE NO. ____________________
ADOPTION CERTIFICATE FOR PARENTS
This is to certify, that in an action pending in this Court, on a petition filed by _______________________
__________________________________________________________________________________________
to adopt ___________________________________________________________________________________
a minor, satisfactory evidence was submitted to prove, and the Court found, that the minor was born on the
_________ day of _______________________________, 20_____, at _________________________________
and that all necessary proceedings relative to an adoption were complied with; and the Court on the ___________ day
of
_______________________________,
20_____,
decreed
that
the
minor
is
legally
adopted
by
_______________________________________________________________________________________
and the minor's name is changed to ____________________________________________________________ in the
records of the Court.
WITNESS my signature and seal of said Court,
this _____ day of _______________________, 199______
_______________________________________________
Probate Judge
By: ____________________________________________
Deputy Clerk
Print Form
18.8 - ADOPTION CERTIFICATE FOR PARENTS
10/1/97
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