PC-G-15.0 (Rev. 7-2004) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY,JUDGE LAWRENCE A. BELSKIS, JUDGE IN THE MATTER OF THE GUARDIANSHIP OF CASE NO. SPOUSE, CHILDREN AND NEXT OF KIN OF PROPOSED WARD [R.C. 2111.04] The following are proposed ward's spouse, children, and the lineal descendants of deceased children. If none, the following are proposed ward's next of kin who would be entitled to inherit under the statutes of descent and distribution. (NOTE: List the name and address of the minor next of kin's parent, guardian or custodian on the name and address lines following the minor next of kin's address.) Service Waived 1. Name Address 2. Name Address 3. Name Address 4. Name Address 5. Name Address 6. Name Address 7. Name Address 8. Name Address 9. Name Address 10. Name Address Zip Zip Zip Zip Zip Zip Zip Zip Zip Zip Date of Birth Relationship Date 15.0 NEXT OF KIN OF PROPOSED WARD Applicant American LegalNet, Inc. www.FormsWorkFlow.com