Free Microsoft Word - Guardianship Series 15-17.7.DOC - Ohio

PROBATE COURT OF __________________ COUNTY, OHIO
IN THE MATTER OF THE GUARDIANSHIP OF ____________________________________________ CASE NO. ____________________

NEXT OF KIN OF PROPOSED WARD
[R.C. 2111.04]
(NOTE: Specify age and birthdate of each minor under 16 on the line containing the minor's name. List the name and address of the minor's parent, guardian or custodian on the name and address lines following the minor's address.)

Service Relationship Birthdate Waived Of Minor 1. [ ] Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ 2. [ ] Zip _______________

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

3. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

4. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

5. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

6. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

7. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

8. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

9. [ ]

Name _______________________________________________ _________________ __________________ Address _______________________________________________________________ Zip _______________

10. [ ] Name ______________________________________________ _________________ ___________________ Address _______________________________________________________________ _______________________________________ Date Zip _______________

______________________________________ Applicant

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