PC-EGT-4.2 (Rev. 10-2000) PROBATE COURT OF FRANKLIN COUNTY, OHIO LAWRENCE A. BELSKIS, JUDGE ROBERT G. MONTGOMERY,JUDGE ESTATE OF GUARDIANSHIP OF TRUST OF CASE NO. INCOMPETENT , DECEASED FIDUCIARY'S BOND Amount of: Bond $ Additional Bond $ The undersigned principal, and sureties if any, are obligated to the State of Ohio in the above amount, for payment of which we bind ourselves and our successors, heirs, executors and administrators, jointly and severally. The principal has accepted in writing the duties of fiduciary in the above matter, including those imposed by law and such additional duties as may be required by the Court. This obligation is void if the principal performs such duties as required. This obligation remains in force if the principal fails to perform such duties, or performs them tardily, negligently, or improperly, or if the principal misuses or misappropriates the assets or improperly converts them to the fiduciary's use or the use of another. Date Principal Surety by Attorney in Fact Typed or Printed Name Address City State Zip Surety by Attorney in Fact Typed or Printed Name Address City State Zip FORM 4.2 -FIDUCIARY'S BOND American LegalNet, Inc. www.FormsWorkFlow.com