PC-E-2.0A (Rev. 9-2007) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY,JUDGE LAWRENCE A. BELSKIS, JUDGE ESTATE OF CASE NO. , DECEASED APPLICATION TO FILE WILL FOR RECORD ONLY Applicant states that decedent died on Decedent's domicile was Street Address City or Village, or Township if unincorporated area County Post Office State Zip Code A document purporting to be the original of decedent's Will is attached and offered for filing. The applicant further acknowledges that the acceptance of this document by the Court as a Will for Record Only is not a finding by the Court that the document comports with the Ohio statute on Wills. Attorney for Applicant Applicant Typed or Printed Name and S. Ct. Atty. Regis. No. Typed or Printed Name Address Address City, State, Zip Code City, State, Zip Code ( ) ( ) Telephone Number Telephone Number ENTRY A document purporting to be the original of the last Will and Testament of the above named decedent has been filed with this Court. The Court finds that no application for admission to probate has been made. It is hereby ordered that the document and all related papers be filed for record only with the Court; and upon filing of Estate Tax Return Release from Administration documents this proceeding is closed without prejudice. LAWRENCE A. BELSKIS ROBERT G. MONTGOMERY Probate Judge FRANKLIN COUNTY FORM 2.0A - APPLICATION TO FILE WILL FOR RECORD ONLY American LegalNet, Inc. www.FormsWorkFlow.com Judge