Next Of Kin Of Proposed Ward {15.0}

Lorain County Probate Court Judge James T. Walther IN THE MATTER OF THE GUARDIANSHIP OF ____________________________ CASE NO. ______________________ NEXT OF KIN OF PROPOSED WARD [R.C. 2111.04] (NOTE: Specify age and birth date of each minor under 16 on the line containing the minor's name. minor's parent, guarding, or custodian on the name and address lines following the minor's address.) List the name and address of the Service Waived 1. [ ] 2. [ ] 3. [ ] 4. [ ] 5. [ ] 6. [ ] 7. [ ] 8. [ ] 9. [ ] 10. [ ] Relationship Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Name _____________________________________ _______________ Birth Date of Minor __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ Address _______________________________________________________ Zip ________________ _______________________________ Date ____________________________ Applicant 15.0 - NEXT OF KIN OF PROPOSED WARD American LegalNet, Inc. www.FormsWorkFlow.com