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Report Of Distribution And Entry Minors Claim 22.4 - Ohio
| Report Of Distribution And Entry Minors Claim Form. This is a Ohio form and can be used in Minor Settlement Probate Statewide . |
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PROBATE COURT OF IN THE MATTER OF CASE NO. COUNTY, OHIO , MINOR REPORT OF DISTRIBUTION AND ENTRY MINOR'S CLAIM Pursuant to Entry filed and on the accompanying vouchers. Gross Proceeds Less: Medical expenses Reimbursement of suit expenses to $ Attorney fees to Loss of service to Other: Total Net Proceeds Deposited pursuant to R.C. 2109.13 Form 22.3 attached Delivered to legal guardian of the estate Delivered to parent and natural guardian Delivered to the person by whom the minor is maintained Structured - see documents previously filed Balance Attorney for Fiduciary , , the proceeds have been paid as shown below $ $ $ $ $ $ $ , , , $ $ $ $ $ Fiduciary -0- Attorney Registration No. ENTRY The above report of distribution is hereby approved and the applicant is discharged from further responsibility. Date Judge FORM 22.4 REPORT OF DISTRIBUTION AND ENTRY MINOR'S CLAIM American LegalNet, Inc. www.FormsWorkflow.com
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