PC-EGT-1.R2 (Rev. 5-2001) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY,JUDGE LAWRENCE A. BELSKIS, JUDGE ESTATE OF GUARDIANSHIP OF TRUST OF CASE NO. INCOMPETENT , DECEASED FILING INFORMATION Applicant states that the decedent died on Decedents domicile was . Street Address County Zip Code City or Village, or Township if unincorporated area Post Office State . Documents are attached and offered for filing. Attorney for Applicant Typed or Printed Name Address City, State, Zip Telephone Number [include area code] Attorney Registration No. Applicant Typed or Printed Name Address City, State, Zip Telephone Number [include area code] FRANKLIN COUNTY FORM 1.R2 - FILING INFORMATION American LegalNet, Inc. www.FormsWorkFlow.com