COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF TRUMBULL COUNTY, OHIO THOMAS A. SWIFT, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ESTATE OF , DECEASED CASE NO. APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION [R.C. 2113.031]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Applicant states that the decedent died on Decedent's domicile was Street Address City or Village, or Township if unincorporated areaTHE PEOPLE OF THE STATE OF NEW YORK TOCountyPost OfficeGREETINGS:StateZip CodeWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable[Check one of the following] .,located at County ofThe applicant is decedent's surviving spouse entitled to one hundred percent of the allowance for support and decedent's funeral and burial expenses have been prepaid or the surviving spouse has paid or is obligated in writing to pay decedent's funeral and burial expenses and the value of the assets does not exceed the $40,000 allowance for support under R.C. 2106.13 (B) plus an amount not exceeding $2,000 for decedent's funeral and burial expenses. .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.The applicant, who is not the surviving spouse, has paid or is obligated in writing to pay decedent's funeral and burial expenses and the value of the assets is the lesser of $2,000 or the amount of decedent's funeral and burial expenses., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attached hereto is a receipt, contract or other document that confirms the applicant's payment or obligation to pay decedent's funeral and burial expenses or if the applicant is the surviving spouse, the prepayment receipt, if applicable. The decedent's surviving spouse, next of kin, legatees and devisees known to applicant, are listed on attached form 1.0. Applicant states that there are no pending proceedings for the administration of decedent's estate or relief of decedent's estate from administration under R.C. 2113.03. All known assets with date of death values of the estate are as follows: .Attorney(s) forOffice and P.O. AddressMotor Vehicles (include year, make, model, body type, manufacturer's vehicle identification number and Certificate of Title number) $Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:FORM 5.10-APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION7/9/01American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.CASE NO. Calendar No..JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Accounts maintained by a Financial Institution (include financial institution name and the account's complete identifying number: $ .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Stocks and Bonds (include for each stock or bond its serial number, the name of its issuer, the name and address of its transfer agent, and the total number of shares of stocks or bonds): $ .Real estate described in accompanying Form 12.0 Application for Certificate of Transfer and Form 12.1 Certificate of Transfer and date of death value [Attach verification of value.]THE PEOPLE OF THE STATE OF NEW YORK TO$.Other assets and date of death values$GREETINGS:Total Assets $WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableApplicant requests an order granting summary release.,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 Attorney for ApplicantApplicant's Signature Typed or Printed NameApplicant's Typed or Printed NameYour 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. Street AddressStreet Address CityStateZip CodeZip CodeStateCity, one of the Justices of the Phone Number (include area code)Court in Witness, Honorableday of, 20 County,Phone Number (include area code)Attorney Registration No. (Attorney must sign above and type name below)Signed and acknowledged by the applicant in my presence this day of , 200.Attorney(s) forNotary Public/Deputy ClerkOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:FORM 5.10-APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION7/9/01American LegalNet, Inc. www.USCourtForms.com
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