Supplemental Application For Ancillary Adinistration

Probate Court of Cuyahoga County, Ohio John J. Donnelly, Presiding Judge John E. Corrigan, Judge ESTATE OF _______________________________________________________, DECEASEDCASE NUMBER: ______________________________________ SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATION Applicant says that the decedent named in the attached application for a uthority to administer the estate died [check one of the following] - 9 owning property in this county - 9 having a debtor residing in this county. Applicant is a resident of Ohio [Check one of the following three paragraphs] 9 Applicant is the general executor named in decedents Will, and is d uly appointed, qualified and acting in that capacity in thestate of ___________________________ . An exemplified record of the gra nt of his letters of authority is attached. 9 Applicant is named in decedents Will as executor of his Ohio estate . 9 Applicant is a resident of this county. Decedent either died intestate , or did not designate an Ohio executor or administratorin his Will. [Check if applicable] - 9 An authenticated copy of decdents Will, duly proved in another stat e, is attached and offered for therecord The estimated value of decedents Ohio estate is $ _________________ _____________ . ____________________________________________________ Applicant Form 4.1 - Supplemental application for ancillary administration American LegalNet, Inc. www.USCourtForms.com