PROBATE COURT OF _______________ COUNTY, OHIO
__________________________, JUDGE
IN RE: CHANGE OF NAME OF ____________________________________________________________
(Present Name)
_________________________________________________________________________________________
(Name Requested)
Case No. ________________________
NOTICE OF HEARING ON CHANGE OF NAME
[R.C. 2717.01]
Applicant hereby gives notice to all interested persons and to _________________________________________________________,
(Necessary person whose address is unknown)
whose last known address is____________________________________________________________________________________,
that the applicant has filed an Application for Change of Name in the Probate Court of ______________________________________
County, Ohio, requesting the change of name of ____________________________________________________________________
to _________________________________________________________________________________________________________.
The hearing on the application will be held on the _________________ day of ____________________________________, 20____,
at ________ o'clock ____M. in the Probate Court of _________________________________________________, County, located at
_________________________________________________________________________________________________________.
__________________________________________________
Applicant's Signature
__________________________________________________
Typed or Printed Name
__________________________________________________
Address
__________________________________________________
City
State
Zip
Note to Publisher: The above legal notice including the caption is to be published once in its entirety. Costs are to be paid by
applicant and an Affidavit of Publication is to be furnished to applicant.
Print Form
FORM 21.5 - NOTICE OF HEARING ON CHANGE OF NAME
Eff. Date: January 1, 2010