PC-E-6.4A (Rev. 2/2002) PROBATE COURT OF FRANKLIN COUNTY, OHIO LAWRENCE A. BELSKIS, JUDGE ROBERT G. MONTGOMERY, JUDGE ESTATE OF CASE NO. , DECEASED APPLICATION FOR APPOINTMENT OF A COMMISSIONER TO REPORT ON THE CONTENTS OF A SAFE DEPOSIT BOX Now comes of the decedents safe deposit box located at who requests the appointment of , as Commissioner to review and report the contents a financial institution in , State of Ohio. The applicant requests that the the City of Commissioner be permitted to remove the decedents will(s) and codicil(s) from the safe deposit box and bring the will(s) and codicil(s) to the Court along with a written inventory of the contents of the safe deposit box. The applicant states that the date of death of the decedent is . Applicant/Applicants Attorney Address City, State, Zip Code Telephone Number ENTRY The Court hereby appoints as Commissioner to open the decedents safe deposit box in the presence of an employee of the above listed financial institution and the applicant, to inventory the safe deposit box, and bring the report of the contents and any will(s) and codicil(s) of the decedent to the Court. The report shall be signed and dated by the applicant, an employee of the institution where the safe deposit box is located, and the Commissioner and filed with the Court on or before . No other property shall be released from the safe deposit box until presentation of Letters of Authority or further order of this Court. ROBERT G. MONTGOMERY LAWRENCE A. BELSKIS JUDGE Probate Judge FRANKLIN COUNTY FORM 6.4A - APPLICATION FOR APPOINTMENT OF A COMMISSIONER TO REPORT ON THE CONTENTS OF A SAFE DEPOSIT BOX American LegalNet, Inc. www.FormsWorkFlow.com