PROBATE COURT OF BUTLER COUNTY, OHIO DISINTERMENT OF , DECEASED CASE NO. SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES [R.C. 2105.06, 2106.13, 2107.91] [Use with those applications or filings requiring some or all of the information in this form, for notice or other purposes. Update as required.] The following are decedent's known surviving spouse, and other known survivors, who are or would be entitled to inherit under the statutes of descent and distribution. Name Residence Address Relationship to Decedent Surviving Spouse Birth date of Minor [CHECK W HICHEVER OF THE FOLLOW ING IS APPLICABLE:] The surviving spouse is the natural or adoptive parent of at least one of the decedent's children. The surviving spouse is not the natural or adoptive parent of any of decedent's children. There are minor children of the decedent who are not the children of the surviving spouse. There are minor children of the decedent and no surviving spouse. American LegalNet, Inc. www.USCourtForms.com BCPC FORM 382 - SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES - PDF - PAGE 1 4/1/2004 CASE NO. The following are known persons surviving decedent, and nam ed in the decedent's Will as legatees or devisees: Name Residence Address Birth date of minor [CHECK W HICHEVER OF THE FOLLOW ING IS APPLICABLE:] The W ill contains a charitable trust or a bequest or devise to a charitable trust, subject to Revised Code Sections 109.23 and 109.41 The W ill is not subject to Revised Code Sections 109.23 and 109.41, relating to charitable trusts. Date Applicant (or give other title) American LegalNet, Inc. www.USCourtForms.com BCPC FORM 382 - SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES - PDF - PAGE 2 4/1/2004