PROBATE COURT OF CUYAHOGA COUNTY, OHIO ANTHONY J. RUSSO, PRESIDING JUDGE LAURA J. GALLAGHER, JUDGE ESTATE OF CASE NO. , DECEASED NOTICE OF HEARING ON REPRESENTATION OF INSOLVENCY AND SCHEDULE OF CLAIMS [R.C. 2117.17] TO THE FOLLOWING CREDITOR, CLAIMANT OR INTERESTED PERSON: Typed or Printed Name of Creditor, Claimant or Interested Person Address You are hereby notified that the fiduciary of this estate has filed a Representation of Insolvency and a Schedule of Claims in the Probate Court of County, Ohio. A copy of the Representation of Insolvency and the Schedule of Claims is attached to this Notice of Hearing. The Representation of Insolvency and the Schedule of Claims shall be heard before the County Probate Court, located the _ day of , 20_ , at o'clock The actions of the fiduciary in allowing and classifying claims will be confirmed at the hearing unless cause to the contrary is shown. Exceptions, if any, to the allowance or classification of any specific claim, must be in writing and filed with the Court prior to the hearing. _ at on . M. Fiduciary/Attorney for Fiduciary Typed or Printed Name Attorney Registration No. Address Phone Number (include area code) FORM 24.2 - NOTICE OF HEARING ON REPRESENTATION OF INSOLVENCY AND SCHEDULE OF CLAIMS Effective Date: January 1, 2012 American LegalNet, Inc. www.FormsWorkFlow.com