Free 2000C13 intent to relocate in BC.PDF - Ohio

C13 Eff. 1/03 Rev. 1/05

IN THE COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS BUTLER COUNTY, OHIO Judge Sharon L. Kennedy Judge Eva D. Kessler : Case No. _____________________ : : :

______________________________ Plaintiff/1st Petitioner ______________________________ Address ______________________________ vs. ______________________________ Defendant/2nd Petitioner ______________________________ Address ______________________________

: NOTICE OF INTENT TO RELOCATE WITHIN BUTLER COUNTY

This form must be received by the Case Management Office 30 days prior to your move from your current address to any other address within Butler County, Ohio. I am a parent of the following minor child(ren): Name:___________________________ Date of Birth: _______________________ Name: __________________________ Date of Birth: ________________________ Name: __________________________ Date of Birth: ________________________ I intend to relocate from: __________________________________________ (Present Address) __________________________________________ Effective Move Date: _______________________ To: (New Address) (Current Phone #) __________________________________________ __________________________________________ ______________ (New Phone #, if different) ______________

IF YOU DO NOT WANT YOUR ADDRESS RELEASED TO YOUR FORMER SPOUSE, CHECK HERE AND COMPLETE THE ENCLOSED SUPPLEMENTAL AFFIDAVIT (C-20) _____ DO NOT RELEASE MY ADDRESS TO FORMER SPOUSE (FORM C-20 ATTACHED) IF YOU HAVE NOT MARKED THE SPACE ABOVE AND PROVIDED A FORM C-20, YOUR ADDRESS WILL BE RELEASED TO YOUR FORMER SPOUSE.

______________________________________ Moving Parent

__________________________ Date