Application For Release Of Estate From Administration - Short Form {5.0N}

<document>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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOAPPLICATION FOR RELEASE OF ESTATE FROM ADMINISTRATION [Revised Code, Sec 2113.03] says that late a resident of the of County, Ohio died (testate or intestate on the day of , 20 leaving surviving spouse, and the following persons entitled to the next estate of inheritance under the statutes of descent and distribution whose names, ages, respective degrees of relationship to the decedent, relationship to the surviving spouse of the decedent, and addresses are as follows:GREETINGS:NameAgeRelationshipRelationship to Surviving SpouseAddressWE 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 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 selects to act when required, as appraiser of the real and personal property of the decedent, the value of which is not readily ascertainable., one of the Justices of theCourt in Witness, Honorableday of, 20 County,The following is a summary statement of the character and value of the property comprising the estate.Appraiser's Report: I certify that the foregoing is a true and correct appraisement of the property exhibited to me. Dated , 20(Attorney must sign above and type name below) AppraiserAttorney(s) forRECAPITULATION OF ASSETSPersonal Property of the value of $ Office and P.O. AddressReal Estate of the value of $ Telephone No.: Facsimile No.: E-Mail Address:«ftu6/1O?-$ Total EstateMobile Tel. No.:PAGE 1 OF FORM 5.0N APPLICATION FOR RELEASE OF ESTATE FROM ADMINISTRATIONAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OFThat the debts owing by the decedent and to whom owing are as follows:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.NameAddressNature of DebtAmountCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)The estate being $25,000 or less in amount, the applicant asks that the estate be relieved from administration and that delivery or transfer of the property be made to the following persons:NameAddressProperty to be Delivered or Transferred. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TO ApplicantWAIVER We the undersigned, surviving spouse and heirs at law of the above named decedent and interested parties in the above entitled action hereby waive service of notice in the above entitled action and consent to the delivery or transfer of the described property as prayed for above.GREETINGS:Dated this day of , 20 .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 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 roomORDER RELIEVING ESTATE FROM ADMINISTRATION «ftu6/1Okf(-Your 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 court finds that the decedent died on , 20 , and that the entire estate of the, one of the Justices of thedecedent consists of assets having a value of $ .Court in Witness, Honorableday of, 20 County,The court finds from the representations made that further notice is unnecessary, that the estate is within the provisions of section 2113.03 of the Revised Code, and that creditors will not be prejudiced by granting the order. It is therefore ordered and decreed that the estate be and hereby is relieved from administration, and it is further ordered that the property of the estate be delivered and transferred to the following persons:(Attorney must sign above and type name below)NameProperty to be Delivered or TransferredAddressAttorney(s) forOffice and P.O. Address DateJudge Jack R. PuffenbergerTelephone No.: Facsimile No.: E-Mail Address:I, , Attorney-at-law, hereby certify, that the within instrument was prepared and/or examined by me, and that the same, in my opinion, is correct and proper.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comPAGE 2OF FORM 5.0N APPLICATION FOR RELEASE OF ESTATE FROM ADMINISTRATION</document>