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Fill and Sign the In the Probate Court of County Ohio Form

Fill and Sign the In the Probate Court of County Ohio Form

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IN THE PROBATE COURT OF ____________ COUNTY, OHIO __________________, PRESIDING JUDGE __________________, JUDGE In the Matter of the Change of Name of Case No. Name Change Application Supplemental Affidavit (ORC Section 2717.01) State of Ohio____________ County: SSThe undersigned Applicant for the change of name in this matter, being first duly sworn does depose and say that the following statements are true with respect to the Applicant, or with respect to the person on whose behalf the change of name has been requested, if that person is a minor:1. The person for whom a change of name is being requested does not have a duty to comply with the Sexual Offender Registration and Notification (SORN) Law because of having been convicted of, pleading guilty to, or being adjudicated a delinquent child for having committed a sexually oriented offense or a child-victim offense as both are defined in ORC § 2950.01;2. The person for whom a change of name is being requested has not been convicted of, plead guilty to, or been adjudicated a delinquent child for having committed identify fraud as defined in ORC §2913.49.Dated: Applicant Subscribed and sworn to in my presence on the date indicated above. Notary Public/Deputy Clerk

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