Representation Of Insolvency And Request For Hearing {7-A}

<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. REPRESENTATION OF INSOLVENCY AND REQUEST FOR HEARING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Now comes , of the Estate of , who died on , and sets forth the following facts:THE PEOPLE OF THE STATE OF NEW YORK TO1. months have passed since the undersigned was appointed as fiduciaryGREETINGS:(or commissioner) of the above captioned estate.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,2.On an inventory (or schedule of assets to be relieved) was filed withlocated 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 roomthis Court showing the following assets:Personal Property$Real Property$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.TOTAL ASSETS$3.Attached hereto is a schedule of claims, showing all claims allowed and disallowed in the, one of the Justices of theestate, the name and address of the claimants, the amount claimed, the payment class, and the date each claim was presented and allowed.Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)TOTAL CLAIMS EQUAL $Attorney(s) for4.All references to payment class in the attached schedule of claims correspond to paragraphletter from Ohio Revised Code § 2117.25 (eff. 7/20/88) or (eff. 8/26/77).Office and P.O. Address«ft8.B(-Telephone No.: Facsimile No.: E-Mail Address:REV. 8/1/02PAGE 1 OF LOCAL FORM 7-AMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::CASE NO. Index No.Calendar No.5.All anticipated administrative costs have been estimated and listed as Class A debts. AnyJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)family allowance due pursuant to Ohio Revised Code Section 2117.20 has been listed as a Class C debt.6.It appears that the estate is insolvent, and therefore the undersigned moves the Court to seta hearing on the matter to determine if the fiduciary acted properly in allowing and classifying each claim and to make an order confirming or disapproving such action.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.Counsel for the fiduciary shall notify all creditors, claimants, and any other interestedTHE PEOPLE OF THE STATE OF NEW YORK TOparties as the Court directs, of the hearing date and location by certified mail, return receipt requested. Proof of service, or waiver of same, shall be supplied to the Court at the hearing.GREETINGS:FiduciaryWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Attorney (Signature)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 roomAttorney (Typed)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.Attorney's Address, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Phone #(Attorney must sign above and type name below)7-Digit Supreme Court I.D.#Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:PAGE 2 OF LOCAL FORM 7-AMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>