Application To Relieve Estate From Administration {5.0}

<document>COURT COUNTY OFPROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.ESTATE OF , DECEASED CASE NO. Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATION [R.C. 2113.03]Applicant states that decedent died on Decedent's domicile was Street Address City or Village, or Township if unincorporated area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .County Post OfficeStateZip CodeTHE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS: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 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,[Check one of the following] . Decedent's will has been admitted to probate in this Court. . To applicant's knowledge, decedent did not leave a will. [Check one of the following] . The assets are $ 15,000 or less and decedent died on or after January 1, 1976. . The assets are $ 25,000 or less and decedent died on or after October 20, 1987. . The assets are $ 35,000 or less and decedent died on or after November 9, 1994. . The assets are $ 50,000 or less; and the surviving spouse is entitled to all of the assets and the decedent died on or after April 16, 1993. . The assets are $ 85,000 or less; the surviving spouse is entitled to all of the assets and the decedent died on or after September 14, 1993. . The assets are $ 100,000 or less; the surviving spouse is entitled to all of the assets and the decedent died on or after March 18, 1999. Applicant asks that the estate be relieved from administration because the assets do not exceed the statutory limits. A statement of the assets and liabilities of the estate is listed on the attached Form 5.1. The decedent's surviving spouse, next of kin, legatees, and devisees known to applicant, are listed on the attached Form 1.0. Attorney for Applicant(Attorney must sign above and type name below)Applicant Typed or Printed NameTyped or Printed Name Attorney(s) for AddressAddress Office and P.O. Address Phone Number (include area code)Phone Number (include area code)Attorney Registration No. Telephone No.: Facsimile No.: E-Mail Address:«Ftu6/1y-3/99PAGE 1 OF FORM 5.0 APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATIONMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OFWAIVER OF NOTICE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.The undersigned surviving spouse, heirs at law, legatees, devisees, and other persons entitled to notice of the filing of the application to relieve decedent's estate from administration, waive such notice. Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ENTRY SETTING HEARING AND ORDERING NOTICE«ftiI-THE PEOPLE OF THE STATE OF NEW YORK TOThe Court sets , at 0'clock . M., as the date and time for hearing the application to relieve decedent's estate from administration. [Check one of the following] . All notice is dispensed with as unnecessary. . Notice by publication to interested parties is dispensed with as unnecessary. Written notice shall be given, as provided by law and the Rules of Civil Procedure, to those persons entitled to notice, who have not waived notice. . Written notice is dispensed with as unnecessary. Notice by publication shall be given to interested parties as provided by law and the Rules of Civil Procedure. . Written notice shall be given to those persons entitled to notice, who have not waived notice, and notice by publication shall be given to interested parties, as provided by law and the Rules of Civil Procedure.GREETINGS: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 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below) DateAttorney(s) forJudge Jack R. PuffenbergerOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:PAGE 2 OF FORM 5.0 APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATIONAmerican LegalNet, Inc. www.USCourtForms.com</document>