PROBATE COURT OF BUTLER COUNTY, OHIOESTATE OF, DECEASEDCASE NO.CERTIFICATE OF TRANSFERNO.[Check one of the following]Decedent died intestate. Decedent died testate. Decedent died onowning the real property describedthis certificate. The persons to whom such real property passed by devise, descent or election are as follows.NameResidenceTransferee's share Addressof decedent's interest[Complete if applicable] The real property described in this certificate is subject to a charge of $in favor of decedent's surviving spouse,in respect of the unpaid balance of the specific monetary share which is part of the surviving spouse's total intestate share.10/1/98FORM 12.1 -CERTIFICATE OF TRANSFER2001 © American LegalNet, Inc.The legal description of decedent's interest in the real property subject to this certificate is: [use extra sheets, if necessary].Prior Instrument Reference: Parcel No:ISSUANCEThis Certificate of Transfer is issued this.,day ofProbate JudgeCERTIFICATIONI certify that this document is a true copy of the original Certificate of Transfer No.issued on and kept by me as custodian of the official records of this Court.DateProbate JudgeByDeputy Clerk2001 © American LegalNet, Inc.
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