Fill and Sign the Waiver Summons Form

IN THE COURT OF COMMON PLEAS Division COUNTY, OHIO IN THE MATTER OF: A Minor : Plaintiff/Petitioner : Case No. : Street Address : : Judge City, State and Zip : : vs. : Magistrate : : Defendant/Respondent/Petitioner : : Street Address : : City, State and Zip Code : : WAIVER OF SERVICE OF SUMMONS I, (name), acknowledge that I am the Petitioner Plaintiff Defendant Respondent (select one) and that I have received a copy of the following documents filed or to be filed by the other party: Complaint for Parentage Complaint Motion (select one) for Allocation of Parental Rights and Responsibilities (Custody) Complaint Motion (select one) for Parenting Time (Companionship and Visitation) Complaint Motion (select one) for Establishment or Change of Child Support Journal Entry and Findings of Fact Supporting Child Support Deviation Health Insurance Affidavit Complaint for Divorce with Children Complaint for Divorce without Children Separation Agreement Shared Parenting Plan Parenting Plan Petition for Dissolution Agreed Judgment Entry, Magistrate’s Decision, Order, and/or Magistrate’s Order Affidavit of Income and Expenses Supreme Court of Ohio Uniform Domestic Relations Form – 27 Uniform Juvenile Form – 9 WAIVER OF SERVICE OF SUMMONS Approved under Ohio Civil Rule 84 and Ohio Juvenile Rule 46 Effective Date: 7/1/2013 Page 1 of 2 Affidavit of Property Parenting Proceeding Affidavit Motion for Contempt and Affidavit Motion and Affidavit or Counter Affidavit for Temporary Orders with Oral Hearing Other (specify): I waive service of summons of said document by the Clerk of Court. Date Your Signature Telephone number at which the Court may reach you or at which messages may be left for you Supreme Court of Ohio Uniform Domestic Relations Form – 27 Uniform Juvenile Form – 9 WAIVER OF SERVICE OF SUMMONS Approved under Ohio Civil Rule 84 and Ohio Juvenile Rule 46 Effective Date: 7/1/2013 Page 2 of 2