PROBATE COURT OF BUTLER COUNTY, OHIO ESTATE OF , DECEASED CASE NO. CERTIFICATE OF TERMINATION [R.C. 2109.30.1(B)(2)] I certify that I am the executor or administrator and the sole legatee, devisee or heir. I further certify: (1) all debts and claims presented to the estate have been paid in full or settled finally; (2) an estate tax return, if required under Chapter 5731 of the Revised Code, has been filed, and any estate tax due under that chapter has been paid; (3) all attorney fees have been [check one] amount of $ ; waived by counsel of record, (4) all fiduciary fees have been [check one] amount of $ ; waived by the fiduciary; paid to counsel of record in the paid to the fiduciary in the (5) all assets remaining after completion of the activities described above have been distributed to myself as the sole legatee, devisee or heir. Attorney for Fiduciary Fiduciary Attorney Registration No. ENTRY Based upon the above certification it is ordered that the fiduciary and surety, if any, are discharged. Probate Judge FORM 13.6 - CERTIFICATE OF TERMINATION - PDF 4/1/2004 American LegalNet, Inc. www.FormsWorkFlow.com