APPENDIX 7

FEE SCHEDULE FOR COURT APPOINTED COUNSEL

Payment for assigned counsel shall be on the basis of Fifty Dollars ($50.00) per hour for time in court and Forty Dollars ($40 00) per hour for time out of court, up to the following maximum amounts

JUVENILE PROCEEDING MAXIMUM AMOUNT
Bindover $1000.00
Misdemeanor level Delinquency $750 00
Unruly $500.00
Abuse, Neglect and Dependency $1000 00
Paternity or Child Support $500.00

Allocation of Parental Rights and
Responsibilities (Private) $500.00

Payment for Guardian Ad Litem (Attorney) shall be on the basis of Thirty-five Dollars ($35.00) per hour for all time (in and out of court) up to a maximum amount of $1000.00 per case per year.






APPENDIX 8


FACSIMILE FILING COVER PAGE


MIAMI COUNTY JUVENILE COURT



IN THE MATTER OF: CASE NO.*_______________________


_________________________ JUDGE LYNNITA K.C. WAGNER
_________________________
_________________________


MAGISTRATE ___________________


TITLE OF DOCUMENT ________________________________________________

DATE OF TRANMISSION: _____________________________________________

TRANSMITTING FAX NUMBER ________________________________________

NO. OF PAGES IN TRANSMISSION _____________________________________


SENDER INFORMATION:

NAME: ____________________________ SUP. CT. REG. NO. ________________

ADDRESS: _____________________________________________________________

TELEPHONE NO. __________________ FAX NO. ___________________________

EMAIL ADDRESS: ______________________________________________________



* PLEASE STATE IN SPACE IF NO CASE NUMBER HAS BEEN ASSIGNED
APPENDIX 9

IN THE COMMON PLEAS COURT OF MIAMI COUNTY, OHIO


IN THE MATTER OF: CASE NO.___________________

__________________________________
DOB _____________________________ JUDGE LYNNITA K. C. WAGNER



__________________________________, being first duly sworn, says that he/she is a party to the child custody proceeding herein above set forth, concerning the following named child(ren):

1.______________________ DOB________ Present Address____________________
____________________

2.______________________ DOB________ Present Address____________________
____________________

3.______________________ DOB________ Present Address____________________
____________________

4.______________________ DOB________ Present Address____________________
____________________

5.______________________ DOB________ Present Address____________________
____________________

6.______________________ DOB________ Present Address____________________
____________________


Set forth below are the addresses at which said child(ren) resided during the preceding five (5)years and the name(s) and present address of the person(s) with whom the child resided:

From ______________ to________________ with______________________________
at [Address:]_____________________________________________________________
_______________________________________________________________________

From ______________ to________________ with______________________________
at [Address:]_____________________________________________________________
_______________________________________________________________________

From ______________ to____________ with___________________________________
at [Address:]_____________________________________________________________
________________________________________________________________________

From ______________ to____________ with___________________________________
at [Address:]_______________________________________________________________
_______________________________________________________________________

1. Said Affiant (circle one) HAS/HAS NOT participated as a party, witness, or any other capacity in any other proceeding concerning the allocation, between the parents of the same child, or parental rights and responsibilities for the care of the child including any designation of parenting time rights and the designation of the residential parent and legal custodian of the child or that otherwise concerned the custody of or visitation with the same child. If affiant has so participated, the court, case number and the date of the child custody determination are stated below.

2. Said Affiant (circle one) DOES/DOES NOT know of any proceeding that could affect the current proceeding, including proceedings for enforcement of child custody determinations, proceedings relating to domestic violence or protection orders, proceedings to adjudicate the child as an abused, neglected, or dependent child, proceedings seeking termination of parental rights, and adoptions. If Affiant does know of such a proceeding, the court, case number, and the nature of the proceeding are stated below.

3. Said Affiant (circle one) KNOWS/DOES NOT KNOW of any person who is not a party to the proceeding and has physical custody of the child or claims to be a parent of the child who is designated the residential parent and legal custodian of the child or to have parenting time rights with respect to the child or to be a person other than a parent of the child show had custody or visitation rights with respect to the child. If Affiant knows of such a person, the names and addresses of those persons are stated below.

Said Affiant has the following additional knowledge regarding information set forth in paragraphs one through three above:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Each party has a continuing duty to inform the court of any child custody proceeding concerning the child in this or any other state that could affect the current proceeding.



OATH OF AFFIANT
I hereby swear or affirm that the answers above are true, complete and accurate. I understand that falsification of this document may result in a contempt of court finding against me which could result in a jail sentence and fine, and that falsification of this document may also subject me to criminal penalties for perjury. (R.C. 2921.11).


__________________________________________
AFFIANT

Sworn to and subscribed before me on this ________day of ________________, 20____

__________________________________________
Notary Public