PFC

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IN THE COMMON PLEAS COURT OF WAYNE COUNTY, OHIO DIVISION OF DOMESTIC RELATIONS ___________________________________ _________________________ Plaintiff’s Name Case No. ___________________________________ _________________________ Address Judge ___________________________________ MOTION FOR And APPOINTMENT OF GUARDIAN AD LITEM ___________________________________ Defendant’s Name ___________________________________ Address ___________________________________ The undersigned _______________________hereby requests that this court appoint a Guardian Ad Litem to represent the best interests of my children listed below. NAME YEARS OF AGE DOB: DOB: DOB: DOB: DOB: DOB: ___ I have deposited the required Guardian Ad Litem deposit. ___ I am requesting that the Guardian Ad Litem deposit be waived at this time because of my financial situation as supported by the Financial Affidavit for Computation of Child Support and Medical Support (Form #7) that I filed. I understand that the Court may assess part or all of the costs to me at a later date. Party’s Signature: _________________________ ORDER Upon Motion and good cause shown ____________________ is hereby appointed as the Guardian Ad Litem in this matter for the children named above. _____ The necessary Guardian Ad Litem Fee is hereby temporarily waived but may be assessed and allocated to one or both of the parties at a later date. The parties must immediately contact the GAL at ___________ and cooperate fully in the investigation. The GAL’s report shall be submitted to the Court and parties on or before ________. ________________________ Judge/Magistrate