Application Order For Inspection Of Adoption Records {AD-5}

PROBATE COURT OF SUMMIT COUNTY, OHIO ADOPTION OF: CASE NO. APPLICATION/ORDER FOR INSPECTION OF ADOPTION RECORDS (Prior to January 1, 1964 - R.C. 3705.12 (C)(3)) applies to the Summit County Probate Court for permission to inspect or obtain copies of records related to the adoption of , 20 by Applicant's relationship to the adoptee is . The adoptee was born on and on , and later adopted . . Applicant's Signature Applicant's Printed Name Address Telephone STATE OF OHIO COUNTY OF SUMMIT Sworn to and subscribed in my presence this day of Notary Public , 20 . ORDER TO RELEASE Upon written application, and for good cause shown, is hereby authorized to inspect or obtain copies of the records requested upon the release of same by a Magistrate of this Court. IT IS SO ORDERED. JUDGE ELINORE MARSH STORMER Form AD.5 American LegalNet, Inc. www.FormsWorkFlow.com