PC-T-25.9ac (04-2012) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY, JUDGE IN THE MATTER OF THE WRONGFUL DEATH TRUST INTER VIVOS TRUST OF FBO CASE NO. TESTAMENTARY TRUST SPECIAL NEEDS TRUST DECEASED/GRANTOR BENEFICIARY APPLICATION FOR AUTHORITY TO EXPEND FUNDS (from Custodial Deposit) Now comes the undersigned, trustee of the above named Trust, and makes application for authority to expend funds for the best interest of the beneficiary as follows: [State amount requested, nature of expenditure, and the frequency and duration of authority requested. Attach additional explanation, documentation, or estimates as needed. Include the name of the financial institution and last 4 digits of account number on proposed entry.] Trustee Address City, State, Zip Telephone Number (Include Area Code) 15an- Custodial FRANKLIN COUNTY FORM 25.9ac - APPLICATION FOR AUTHORITY TO EXPEND FUNDS American LegalNet, Inc. www.FormsWorkFlow.com