Free Microsoft Word - Adoption Series 18-19.1.DOC - Ohio

PROBATE COURT OF ____________________ COUNTY, OHIO
IN THE MATTER OF THE ADOPTION OF ___________________________________________________
(Name after adoption)

CASE NO. ____________________

PETITIONER'S ACCOUNT
(R.C. 3107.10)

PRELIMINARY ESTIMATE ACCOUNTING
(To be filed not later than date petition filed)

FINAL ACCOUNTING
(To be filed not later than 10 days prior to date of final hearing)

This accounting specifies all disbursements of anything of value the petitioner, a person on the petitioner's behalf, and the agency or attorney made and has agreed to make in connection with the minor's permanent surrender under division (B) of Section 5103.15 of the Revised Code, placement under Section 5103.16 of the Revised Code, and adoption under Chapter 3107. (Attach extra sheets if necessary) DATE
PHYSICIAN

NAME AND ADDRESS

DISBURSEMENTS MADE OR AGREED TO BE MADE

ACTUAL COSTS

HOSPITAL/MEDICAL FACILITY

ATTORNEY

ACTUAL COST TO THE ATTORNEY AGENCY

ACTUAL COST TO THE AGENCY MAINTENANCE AND MEDICAL CARE REQUIRED UNDER R.C. 5103.15

FOSTER CARE GUARDIAN AD LITEM COURT COSTS ALL OTHER DISBURSEMENTS

TOTAL

18.9 - PETITIONER'S ACCOUNT

10/1/97

[Reverse of Form 18.9]

CERTIFICATION OF PETITIONER'S ACCOUNT
The undersigned certifies this _______ day of ______________________, 20___, that this accounting is true and accurate.

_______________________________________ Attorney or Agency

_______________________________________ Typed or Printed Name

_______________________________________ Address

_______________________________________ City

State

_______________________________________ Telephone Number (include area code)

The petitioner has reviewed this accounting and attests to its accuracy this _____ day of ________________________, 20_____.

_______________________________________ Petitioner

_______________________________________ Petitioner

PROBATE COURT OF ____________________ COUNTY, OHIO
IN THE MATTER OF THE ADOPTION OF ___________________________________________
(Name after adoption)

CASE NO. ____________________

PETITION FOR ADOPTION OF ADULT
The undersigned respectfully petitions the court for permission to adopt __________________________________, an adult and to have the adult's name changed to ____________________________________________________. Petitioner says he may adopt the adult because the adult is totally and permanently disabled. is determined to be a mentally retarded person. had established a child-foster parent or child-stepparent relationship with the petitioner as a minor.

_______________________________________________ Attorney for Petitioner _______________________________________________ Typed or Printed Name _______________________________________________ Street Address _______________________________________________ City State Zip _______________________________________________ Phone Number (include area code) Attorney Registration No. _________________________

________________________________________ Petitioner ________________________________________ Typed or Printed Name ________________________________________ Street Address ________________________________________ City State Zip _______________________________________ Phone Number (include area code)

ENTRY
This cause is set for hearing on the __________ day of __________________________________, 20 ____ at _____________ o'clock _____.m.

________________________________________ PROBATE JUDGE

19.0 PETITION FOR ADOPTION OF ADULT

PROBATE COURT OF ____________________ COUNTY, OHIO
IN THE MATTER OF THE ADOPTION OF ___________________________________________
(Name after adoption)

CASE NO. ____________________

FINAL ORDER OF ADOPTION OF ADULT
This day this cause came on to be hear on the petition of ________________________________________ ___________________________________________________________________________________________ _ to adopt ____________________________________________________________________________________, an adult, and on the evidence. On consideration thereof the Court finds (R.C. 3107.02(B)) ______________________________________ ___________________________________________________________________________________________ _ ___________________________________________________________________________________________ _ and that the adoption should be granted. It is ordered that the name of the adopted adult be changed to ___________________________________ ___________________________________________________________________________________________ _ It is therefore further ordered by a final decree of adoption be, and the same hereby is entered herein. It is further ordered that at that time a Certificate of Adoption, certified by the Court, be forwarded to the State Department of Health, Division of Vital Statistics at ______________________________________________. Further, that a copy of this decree be forwarded to the Ohio State Department of Human Services for Statistical purposes.

_________________________ Date

______________________________________________ PROBATE JUDGE

19.1 ­ FINAL ORDER OF ADOPTION OF ADULT