PROBATE COURT OF CUYAHOGA COUNTY, OHIO ANTHONY J. RUSSO, Presiding Judge LAURA J. GALLAGHER, Judge ESTATE OF _______________________________________________________, DECEASED CASE NUMBER ______________________________________ SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATION Applicant says that the decedent named in the attached application for authority to administer the estate died [check one of the following] - 9 owning property in this county - 9 having a debtor residing in this county. Applicant is a resident of Ohio [Check one of the following three paragraphs] 9 Applicant is the general executor named in decedent’s Will, and is duly appointed, qualified and acting in that capacity in the state of ___________________________ . An exemplified record of the grant of his letters of authority is attached. 9 Applicant is named in decedent’s Will as executor of his Ohio estate. 9 Applicant is a resident of this county. Decedent either died intestate, or did not designate an Ohio executor or administrator in his Will. 9 [Check if applicable] An authenticated copy of decdent’s Will, duly proved in another state, is attached and offered for the record The estimated value of decedent’s Ohio estate is $ ______________________________ . ____________________________________________________ Applicant Form 4.1 - Supplemental Application for Ancillary Administration American LegalNet, Inc. www.FormsWorkflow.com