PROBATE 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
18.8 - ADOPTION CERTIFICATE FOR PARENTS
10/1/97