Certificate Of Transfer {12.1}

PROBATE COURT OF TRUMBULL COUNTY, OHIO JAMES A. FREDERICKA, JUDGE ESTATE OF __________________________________________________________, DECEASED CASE NO. _____________________ CERTIFICATE OF TRANSFER NO. __________ [Check one of the following] Decedent died intestate. Decedent died testate. Decedent died on _________________________________ owning the real property described in this certificate. The persons to whom such real property passed by devise, descent or election are as follows: ________________________________________________________________________________ Name Residence Address Transferee's share of decedent's interest ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ [Complete if applicable] The real property described in this certificate is subject to a charge of $ __________________ in favor of decedent's surviving spouse, ________________________________________________________ in respect of the unpaid balance of the specific monetary share which is part of the surviving spouse's total intestate share. 12.1 - CERTIFICATE OF TRANSFER 3/1/14 American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. ___________________ The legal description of decedent's interest in the real property subject to this certificate is: [use extra sheets, if necessary]. Prior Instrument Reference: Parcel No: This instrument was prepared by ______________________________________________________________ ISSUANCE This Certificate of Transfer is issued this _________ day of ____________________________________, 201 __. __________________________________________________________ James A. Fredericka Probate Judge CERTIFICATION I certify that this document is a true copy of the original Certificate of Transfer No. ___________ issued on ______________________________________ and kept by me as custodian of the official records of this Court. ______________________________________ Date ______________________________________________ James A. Fredericka Probate Judge By ___________________________________________ Deputy Clerk 12.1 - CERTIFICATE OF TRANSFER 3/1/14 American LegalNet, Inc. www.FormsWorkFlow.com