Form 16.4 - Notice Of Hearing On Application For Appointment Guardian Of Minor Page 2
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1
2(Reverse of Form 16.4)
___________
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
delivering a true copy thereof personally to
______________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________________
______________________________________
____________Fees______________________
______________________________________
st
Service and return, 1
name $______________
______________________________________
________Additional names, at______________
______________________________________
________Miles traveled, at ________________
______________________________________
______________________________________
Sheriff
Total
$ _________________
______________________________________
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 16.4 NOTICE OF HEARING ON APPLICATION FOR APPOINTMENT
GUARDIAN OF MINOR
TO PARENT, KNOWN NEXT OF KIN AND PERSON HAVING CUSTODY
Amended: March 15, 2016
Discard all previous versions of this form
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