Next Of Kin Of Proposed Ward {15.0}

PROBATE COURT OF SHELBY COUNTY, OHIO GUARDIANSHIP OF CASE NO. NEXT OF KIN OF PROPOSED WARD (NOTE : Service Waived 1. Name Address 2. Name Address 3. Name Address 4. Name Address 5. Name Address 6. Name Address 7. Name Address 8. Name Address 9. Name Address 10. Name Address Zip Zip Zip Zip Zip Zip Zip Zip Zip Zip (R.C. 2111.04) Specify age and birthdate of each minor under 16 on the line containing the minor's name. List the name and address of the minor's parent, guardian or custodian on the name and address lines following the minor's address.) Birthdate Relationship Of Minor Date Applicant FORM 15.0 - NEXT OF KIN OF PROPOSED WARD American LegalNet, Inc. www.FormsWorkFlow.com 09/01/91