COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ESTATE OF , DECEASED CASE NO. APPLICATION FOR CERTIFICATE OF TRANSFER [R.C. 2113.61]Applicant states that decedent died on Decedent's domicile was Street Address City or Village, or Township if unincorporated area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOCounty Post OfficeStateZip CodeGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofDecedent died owning the real property described in the accompanying Certificate of Transfer No. , which also lists those persons to whom the real estate passed. Applicant asks the Court to issue a Certificate of Transfer so that new ownership interests may be recorded. [Check the applicable boxes] . Decedent died intestate . Decedent died testate on; will admitted to probate on . . Decedent's known debts have been paid or secured to be paid. . Sufficient other assets are in hand to pay decedent's known debts. . Estate is insolvent and the transfer shall apply toward the allowance for support. . Applicant was appointed by this Court on and is the qualified and acting executor or administrator of decedent's estate. . Executor or administrator of decedent's estate failed to file this application before being discharged. . Applicant is the executor or administrator appointed in another state. There is and has been no ancillary administration in Ohio. The real estate to be transferred is located in this county. . The transfer is subject to a written contract for the sale and conveyance of the real property, entered into but uncompleted by decedent before death. A copy of the contract is attached. . The transfer is pursuant to decedent's Will. . The transfer is pursuant to the statutes of descent and distribution. . The real property to be transferred is subject to a charge in favor of the surviving spouse in the amount of $ as computed pursuant to R.C. 2106.11 on the attached Exhibit A, and as shown on the accompanying Certificate of Transfer, in respect of the unpaid balance of the specific monetary share which is part of the surviving spouse's total intestate share.o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:«ftu23/1bqq¨- ApplicationMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comFORM 12.0-APPLICATION FOR CERTIFICATE OF TRANSFERCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.. The transfer is of decedent's entire interest in the mansion house to the surviving spouse, who hereby elects to take such interest as part or all of the intestate share and/or allowance for support [If this paragraph is checked, the following must be completed, and both the surviving spouse and applicant must sign this form]. The value of the total intestate share to which decedent's surviving spouse is entitled is $ The value of the allowance for support to which decedent's surviving spouse is entitled is $ The value of decedent's entire interest in the mansion house is:Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Interest in mansion house.............................................$ Interest in household goods in house............................$ Interest in lots or farm land adjacent to house and used in conjunction with it, which are described in certificate of transfer and which spouse hereby elects to include ....................................$ Less: Decedent's share of liens on any and all of above................... $ THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Total..................................................... ........$ $ located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room Surviving SpouseApplicant Title or statusYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,ENTRY ISSUING CERTIFICATE OF TRANSFER(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressThe Court, finding that the above application contains the information required by statute, orders that Certificate of Transfer No. be filed with this Entry and a copy of the Certificate of Transfer be issued for recording. . [Check if applicable] The Court further finds that the transfer is subject to a charge pursuant to R.C. 2106.11. DateJudge Jack R. PuffenbergerTelephone No.: Facsimile No.: E-Mail Address:«ftu23/1kf¥- Entry Issuing CertificateMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comPAGE 2 OF FORM 12.0-APPLICATION FOR CERTIFICATE OF TRANSFER
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