PROBATE COURT OF SHELBY COUNTY, OHIO IN THE MATTER OF ____________________________________________________ CASE NO. ____________________________ AFFIDAVIT OF SERVICE OF NOTICE OF HEARING STATE OF OHIO SS: COUNTY OF __________________ This certifies that all persons interested* in the within Inventory Account have been: notified ten (10) days prior to the date set for hearing on the Inventory (estates only) by regular U.S. Mail; copies of said Notice of Hearing are filed herein. notified fifteen (15) days prior to the date set for hearing on the Account by certified mail, return receipt requested; copies of said Notice of Hearing AND signed certified mail cards are filed herein. ___ By United States ordinary mail after a returned United States certified mail envelope shows that it was refused (refused certified mail envelope attached) ___ By United States ordinary mail after a United States certified mail envelope is returned with an endorsement stating that it was unclaimed, provided that the United States ordinary mail envelope is not returned by the postal authorities showing failure of delivery (unclaimed certified mail envelope attached) CREDITORS** for an Account in intestate or testate estates: notified fifteen (15) days prior to the date set for hearing on the Account by regular U.S. Mail; copies of said Notice of Hearing are filed herein, and/or have waived notice of the hearing on said Account; Waivers of Notice of Hearing are filed herein. have waived notice of the hearing on said are filed herein. Inventory Account; Waivers of Notice of Hearing their names or addresses are unknown to the fiduciary and cannot with reasonable diligence be ascertained, as indicated by an Affidavit of Fiduciary filed herein. ____ Guardianship: ___ward has no known next of kin ___no next of kin residing in Ohio. _____________________________________________ Fiduciary/Attorney for Fiduciary day of ________ Notary Public *Persons interested in the Inventory (per Local Rule 61.1): Estates only: surviving spouse, next of kin, legatees and devisees *Persons interested in the Account (per Local Rule 64.1): Intestate estates: surviving spouse and all next of kin Testate estates: surviving spouse and all beneficiaries **Creditors in intestate or testate estates: those creditors who have properly and timely presented claims in compliance with Ohio R. C. 2117.06 but who at the time of the filing of the account have not had their claims satisfied. Please see Local Rule 62.1 ( C) regarding a Court Order disapproving the allowance of a claim in insolvency proceedings. Guardianships: all next of kin of the ward who reside in Ohio Trusts: all beneficiaries of the trust Eff. 07/06/2016 American LegalNet, Inc. www.FormsWorkFlow.com ___________________ Date Sworn to before me and subscribed in my presence this , 20 .