Application For Appointment Of Assessor {300}

<document>PROBATE COURT OF BUTLER COUNTY, OHIOIN THE MATTER OF THE PLACEMENT OF(Current name of child) CASE NO.APPLICATION FOR APPOINTMENT OF ASSESSOR [R.C. 3107.012, 3107.031, 5103.16(D)]Now comes Petitioner(s) ,,and request(s) that the Court appoint an assessor to perform the services required to be performed by an assessor as set forth in Chapter 3107 and/or Chapter 5103 of the Revised Code.Petitioner(s) request(s) that the Court appoint as the assessor in this case and represents to the Court that said person or agency is duly licensed as an assessor in accordance with the requirements of Section 3107.012 of the Revised Code.Petitioner(s) understand(s) that the cost of the assessor services will be the sole responsibility of the Petitioner(s) and will contract directly with the assessor regarding payment for such services, subject to the provisions of section 3107.10 of the Revised Code.Attorney for PetitionerPetitionerTyped or Printed NameTyped or Printed NameStreet AddressPetitionerCityStateTyped or Printed NameZip CodePhone Number (include area code)Street AddressAttorney Registration No.Zip CodeStateCityPhone Number (include area code)3/98BCPC FORM 300 -APPLICATION FOR APPOINTMENT OF ASSESSOR2001 © American LegalNet, Inc.</document>