PROBATE COURT OF BUTLER COUNTY, OHIO IN THE MATTER OF CASE NO. APPLICATION FOR DEPOSIT IN LIEU OF BOND [R.C. § 2109.13] Now com es as of the estate of , and represents to the Court that in determ ining the am ount of bond to be required of as that the value of the estate or fund com ing into hands is such that it is deem ed inexpedient to require security in the full am ount prescribed by section 2109.04 of the Revised Code. Said applicant further represents to the Court that there is personal property described as follows: which the desires to deposit with an institution authorized as: a bank or savings bank a savings and loan association a credit union a trust com pany incorporated under the laws of: this state of the United States and therefore qualified to serve as depository under the provisions of R.C. 2109.13. Your Applicant requests that the Court direct the deposit of such personal property and that after the filing of a receipt with this Court executed by said depository, acknowledging that such securities are held by it, subject to the order of this Court, that this Court m ay fix the am ount of the bond, if any, with respect to the value of the rem ainder of the estate. Your applicant further states that it is in the best interest of the ward's estate to grant authority to the guardian to instruct such depository to invest and reinvest the personal property deposited in accordance with the investm ent powers and lim itations set forth in R.C. 2109.37 and 2709.371, without obtaining additional orders of the Court authorizing specific future purchases and sales, and to authorize the depository to carry out such investm ent instructions. The estate of the ward presently consists of the following property: Real Estate presently valued at......................................................................$ Personal Property to be deposited.................................................................$ Personal Property to be held by fiduciary.......................................................$ Total Property................................................................................... Total $ Applicant BCPC FORM 405 - APPLICATION FOR DEPOSIT IN LIEU OF BOND - PDF 9/4/2007 American LegalNet, Inc. www.FormsWorkFlow.com