PC-EGT-10.D (Rev. 6/2006) PROBATE COURT OF FRANKLIN COUNTY, OHIO JUDGE ERIC BROWN JUDGE ALAN S. ACKER ESTATE OF GUARDIANSHIP OF TRUST OF INCOMPETENT , DECEASED CASE NO. ENTRY TO DEPOSIT LOST HEIR OR UNCLAIMED FUNDS The Court hereby orders the sum of money in the above estate be distributed to heirs, next of kin, or legatees, to wit: Amount Recipient And it further appearing that the above money has remained unclaimed after becoming available for distribution and after diligent effort to distribute by the Fiduciary. It is therefore ordered that, in accordance with Section 2113.64 Revised Code, the said sum of money be invested with in the County of Franklin and be invested in the name of Alan S. Acker, Probate Judge, or his Successor in Office, to accumulate for the benefit of the persons entitled thereto. ERIC BROWN Judge Judge Alan S. Acker ACCOUNT MUST BE TITLED: Alan S. Acker, Probate Judge, or his successor in office, for the benefit of , Case No. . ADDITIONAL INFORMATION REQUIRED Furnish the following requested information here and on the reverse side of this Entry: In your opinion will the Court be able to find the person or persons who are entitled to receive the sum deposited? YES NO Explain why the Court is to hold the funds: FRANKLIN COUNTY FORM 10.D - ENTRY TO DEPOSIT LOST HEIR OR UNCLAIMED FUNDS American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. ADDITIONAL INFORMATION Last Name: Last known address: Street City State Last known place of employment: Street City State Relatives, friends or employers who may assist in finding this beneficiary: Relationship of lost heir to decedent, be specific: (maternal, paternal, etc.) Submitted By: Name Address Telephone American LegalNet, Inc. www.FormsWorkFlow.com