PROBATE COURT OF BUTLER COUNTY, OHIO IN THE MATTER OF GUARDIANSHIP OF Case No. ENTRY DISPENSING WITH APPOINTMENT OF GUARDIAN AND ORDERING DELIVERY Upon hearing the application to dispense with the appointment of a guardian, the Court finds is a minor, the estate of said minor is Ten Thousand Dollars ($10,000) or less, and the guardianship is not necessary. Therefore, the Court orders the appointment of a guardian dispensed with, and further orders the estate of said minor in the possession of , in the sum of dollars be made payable and delivered to: (CHECK ONE) the minor: . Name and Address the custodian of said minor: Name and Address the natural guardian of said minor: Name and Address . The Court further orders that upon receipt of said funds, the above designated individual shall file his Receipt on Behalf of Minor with this Court. It is further ordered that said funds shall be used solely for the benefit of the minor. APPROVED: Date Attorney For Guardian Probate Judge CERTIFICATE OF AUTHENTICATION The above is a true copy of the original kept by me as custodian of the records of this Court. It constitutes the order authorizing the above designated individual to receive said funds. Probate Judge and Ex-Officio Clerk By Deputy Clerk Date BCPC FORM 511 - ENTRY DISPENSING WITH APPOINTMENT OF GUARDIAN AND ORDERING DELIVERY 10/97 2001 © American LegalNet, Inc.