PROBATE COURT OF BUTLER COUNTY, OHIO ESTATE OF CASE NO. , DECEASED APPLICATION TO PROBATE WILL [R.C. 2107.11, 2107.18, and 2107.19] Applicant states that decedent died on Decedent's dom icile was Street Address City or Village, or Tow nship if unincorporated area County Post Office State Zip Code A document purporting to be decedent's last will is attached and offered for probate, and applicant waives notice of probate of this will. Decedent's surviving spouse, children, next of kin, and legatees and devisees, known to applicant, are listed on the attached Form 1.0. Attorney for Applicant Applicant Typed or Printed Nam e Typed or Printed Nam e Address Address Phone Num ber (include area code) Attorney Registration No. Phone Num ber (include area code) WAIVER OF NOTICE OF PROBATE OF WILL The undersigned, being persons entitled to notice of the probate of this will, waive such notice. After a certificate is filed evidencing these waivers and any notices given, any action to contest the validity of this will must be filed no more than three months after the filing of the certificate for estates of decedents who die on or after January 1, 2002 and no more than four months after the filing of the certificate for estates of decedents who die before January 1, 2002. Typed name Typed name Typed name Typed name Typed name Typed name Typed name Typed name American LegalNet, Inc. www.FormsWorkFlow.com FORM 2.0 - APPLICATION TO PROBATE WILL 12/01/2002 CASE NO. ENTRY ADMITTING WILL TO PROBATE The Court finds that the purported will of decedent, either on its face or from testimony of the witnesses, complies with the applicable law. It is therefore admitted to probate and ordered recorded. The Court further orders that notice of the probate be given to all parties entitled to notice. Date Probate Judge CERTIFICATE OF WAIVER OF NOTICE The undersigned states that all persons entitled to notice: [Check applicable boxes] Have waived notice of the application for probate of this will or of a contest as to jurisdiction. Have waived notice of this will's admission to probate. The waivers are filed herein. Have not been notified because their names or places of residence are unknown and cannot with reasonable diligence be ascertained. Fiduciary Applicant for the adm ission of this w ill to probate Applicant for a release from adm inistration Other interested person Attorney for any of the above Attorney Registration No. FORM 2.0 APPLICATION TO PROBATE WILL - PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com