PC-EGT-1.U (Rev. 8-2001) PROBATE COURT OF FRANKLIN COUNTY, OHIO ESTATE OF GUARDIANSHIP OF TRUST OF CASE NO. ROBERT G. MONTGOMERY,JUDGE LAWRENCE A. BELSKIS, JUDGE INCOMPETENT , DECEASED CLAIM OF WITNESS FEE The undersigned made an appearance on the day of , 20 , as a witness in the above matter and hereby applies for a statutory witness fee. Days: Mileage: Date: Signature Printed Name Address City, State, Zip Telephone ENTRY The claim for a witness fee is hereby approved and ordered paid in the amount of $ named person. to the above LAWRENCE A. BELSKIS Robert G. Montgomery, Judge Judge APPROVED BY: Fiscal Officer FRANKLIN COUNTY FORM 1.U - CLAIM OF WITNESS FEE American LegalNet, Inc. www.FormsWorkFlow.com