Prob 39 PROBATE COURT OF ___________ COUNTY, OHIO ESTATE OF __________________________________________________________________, DEC EASED Case No. Docket Page STATEMENT IN LIEU OF AND FOR AN ACCOUNT Revised Code, Sec. 2109.30 The undersigned, as of the of being first duly sworn, deposes and says * That no claim is made for expenses or compensation on account of said trust by affiant, other than Wherefore no reasons exist for the continuance of said trust, and therefore tenders resignation as such and asks that the same be accepted by the Court; and that this statement be accepted by the Court in lieu of and for account and that be discharged of said trust Dated , The State of Ohio, County. The within named , being duly sworn, says that the foregoing statement is true as verily believes. Sworn to before me and signed in my presence this day of , *That no assets of the estate of said ______haeen collected, and no expenses incuve brred on behalf thereof since the filing of his_______________ account, and that the condition of said estate is the saas stated me at the time, for the reason that _____________________________________________. That no property or estate of any kind whatsoever belonging to the estate of said _______________has come to the possession or knowledge of this affiant as such __________except__________. That there is no estate of any kind whatsoeverer, eith now or in expectancy, of said ____________, to the knowledge of this affiant___________. That said appointmewasnt made for the purpose of _________________. That _______________said ward has become of full age or has died. American LegalNet, Inc. www.USCourtForms.com>>>> 2American LegalNet, Inc.www.USCourtForms.com