PROBATE COURT OF BUTLER COUNTY, OHIO IN THE MATTER OF GUARDIANSHIP OF Case No. GUARDIAN'S BOND [R.C. 2109.04(A)(1)] Amount of this bond $ The undersigned principal, and sureties if any, are obligated to the State of Ohio in the above amount, for payment of which we bind ourselves and our successors, heirs, executors and administrators, jointly and severally. The principal has accepted in writing the duties of fiduciary in ward's estate, including those imposed by law and such additional duties as may be required by the Court. This obligation is void if the principal performs such duties as required. This obligation remains in force if the principal fails to perform such duties, or performs them tardily, negligently, or improperly, or if the principal misuses or misappropriates estate assets or improperly converts them to the principal's own use or the use of another. The sureties certify that each of them owns real estate in this [Check if personal sureties are involved.] county, with a reasonable net value as stated below. Date Principal Surety by Attorney in Fact Surety by Attorney in Fact Typed or Printed Name Typed or Printed Name Address Address Net value of real estate owned in this county $ Net value of real estate owned in this county $ FORM 15.3 ­ GUARDIAN'S BOND Amended March 15, 2016 Discard all previous versions of this form American LegalNet, Inc. www.FormsWorkFlow.com