PC-E-8.4 (Rev. 10-2002)) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY, JUDGE LAWRENCE A. BELSKIS, JUDGE ESTATE OF CASE NO. , DECEASED CERTIFICATE OF SERVICE AND NOTICE OF CITATION TO SURVIVING SPOUSE TO EXERCISE ELECTIVE RIGHTS [R.C. 2106.02] This is to certify that a Citation to Surviving Spouse to Exercise Elective Rights and a Summary Of General Rights Of Surviving Spouse were mailed to the surviving spouse by certified mail, and a copy of this Certificate mailed to the administrator, executor, or attorney for the administrator or executor by ordinary mail, on this day of , . ROBERT G. MONTGOMERY LAWRENCE A. BELSKIS Judge Probate Judge Date: By: Deputy Clerk FORM 8.4 - CERTIFICATE OF SERVICE AND NOTICE OF CITATION TO SURVIVING SPOUSE TO EXERCISE ELECTIVE RIGHTS 12/01/2002 American LegalNet, Inc. www.FormsWorkFlow.com