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 TO DISTRIBUTE IN KIND [R.C. 2113.55]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The fiduciary asks the Court to authorize distribution in kind, according to the within schedule, of personal property in the estate which is not specifically bequeathed and is available for distribution. [Check one of the following] . Decedent's known debts have been paid or secured to be paid -. Sufficient assets are in hand to pay decedent's known debts. [Check whichever of the following paragraphs are applicable]: . All interested persons whose interests may be affected by the distribution have consented to the distribution as proposed in the within schedule. . All interested persons whose interests may be affected by the distribution have not consented to the distribution as proposed in the within schedule. The fiduciary will give notice as required by law to all interested persons who have not consented and who are listed on the notice of hearing accompanying this application. . The distribution is to satisfy part or all of the allowance for support due decedent's [Check applicable boxes] -. surviving spouse -. minor children . The distribution is with the consent of the surviving spouse, and is to satisfy part or all of the specific monetary share due the surviving spouse under the Statute of Descent and Distribution [if this paragraph is checked, the following must be completed and the surviving spouse must sign the consent form]: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,located at County ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of theYour 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 $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Specific monetary share due surviving spouse$Less: Value of property to be distributed Hereunder to surviving spouse(Attorney must sign above and type name below)$Probate assets previously received By surviving spouse in excess of The allowance for supportAttorney(s) for$Balance of specific monetary share remaining$Office and P.O. AddressFiduciary «ft21/1#-Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com10/1/98PAGE 1 OF FORM 10.0 APPLICATION TO DISTRIBUTE IN KINDCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CASE NO. :::::::Index No.CONSENT TO DISTRIBUTION IN KINDCalendar No.The undersigned, being the decedent's surviving spouse or other interested persons, hereby consent to the distribution as described herein.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Surviving Spouse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOSCHEDULE OF PROPERTY TO BE DISTRIBUTED IN KINDName of DistributeeItem to be DistributedAppraisedValue $GREETINGS: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 ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of theYour 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.«ft21/1kfK-JUDGMENT ENTRY[Check the applicable boxes] . The Court finds that the distribution in kind as set forth herein is not prohibited by law and will be in the best interests of the estate, and that all interested persons have consented to the proposed distribution. It is ordered that the fiduciary is authorized to distribute the personal property in accordance with the within application. . The Court finds that all interested persons have not consented, and it is therefore ordered that the Application to Distribute in Kind is scheduled for hearing before the Court located in the Lucas County Court House, 700 Adams Street, Suite 200, Toledo, Ohio 43624 on at o'clock M., and that the fiduciary shall serve a copy of the application and notice of the hearing as required by law, upon all interested persons who have not consented. . The Court further finds and orders:, 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:DateJudge Jack R. PuffenbergerMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com10/1/98PAGE 2 OF FORM 10.0 APPLICATION TO DISTRIBUTE IN KIND
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