COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF HAMILTON COUNTY, OHIOCalendar No.JAMES CISSELL, JUDGEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF, MINORCASE NO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .APPLICATION FOR DEPOSIT OF MINOR'S FUNDS WITHOUT APPOINTMENT OF GUARDIAN [R.C. 2111.05, $10,000 OR LESS] Now comes the undersigned applicant, without the appointment of a guardian, and applies to the Court for an order releasing toTHE PEOPLE OF THE STATE OF NEW YORK TO, a depository authorized to receive fiduciary funds, the amount of $, belonging to, a minor, from the following source: inheritance;insurance proceeds;wrongful death gift;Estate Name proceeds (Estate No.); or other ().GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Attorney for applicantApplicantlocated 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 roomAddressAddressYour 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.City, State, Zip CodeCity, State, Zip CodePhone NumberPhone Number, one of the Justices of theCourt in Witness, Honorableday of, 20 County,ORDER FOR DEPOSIT OF MINOR'S FUNDS WITHOUT APPOINTMENT OF GUARDIAN Applicant is hereby ordered to release to(Attorney must sign above and type name below), a depository authorized to receive fiduciary funds, in the sum of $, , a minor being funds belonging to from the source described above. Said funds shall be held in the sole name of the minor and shall not be released until said minor attains the age of majority or until further order of the Court. Within fourteen (14) days of this order, the applicant shall file a Verification of Deposit with this Court.Attorney(s) forOffice and P.O. AddressJames Cissell, Probate Judge/MagistrateTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com02/10/03H.C. FORM 116.10 -APPLICATION AND ORDER FOR DEPOSIT OF MINOR'S FUNDS WITHOUT GUARDIAN
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