PROBATE COURT OF GEAUGA COUNTY, OHIO JUDGE TIMOTHY J. GRENDELL In the Matter of the Estate of , deceased Case No. APPLICATION FOR ORDER DISPENSING WITH APPRAISEMENT Revised Code, Sec. 2115.02-.08 To the Judge of the Court of Common Pleas, Probate Division of Said County: The undersigned respectfully represents that is the duly appointed and qualified of the Estate of , deceased, that (1) Wherefore the undersigned makes application for an order of the Court directing the omission of an inventory and appraisement, and that an inventory without appraisement be filed in lieu thereof. Dated this day of , 20 The State of Ohio, Geauga County. , being duly sworn says that the statements in the forgoing application are true as verily believes. Sworn to before me and signed in my presence this day of , 20 . 1. "By the terms of .... last will, said testat... expressed a wish that no appraisement of ....household goods and furniture be made." or "the decedent left no surviving spouse or minor child or children, and the probable value of the personal property of said decedent is less than five hundred dollars" or "The personal property consists wholly of stocks, bonds, moneys, deposits or other securities" or 'the ....of said estate (the predecessor of the undersigned) made and returned an inventory of the estate and effects of said decedent as required by law" 41R - APPLICATION FOR ORDER DISPENSING WITH APPRAISEMENT American LegalNet, Inc. www.FormsWorkFlow.com Case No. ORDER DISPENSING WITH APPRAISEMENT Revised Code, Sec. 2115.02-.08 Common Pleas Court, Probate Division, Geauga County, Ohio In the Matter of the Estate of ) Date: ) Deceased ) Order Dispensing with Appraisement This day of the Estate of , deceased, appeared in open Court and made application for an order directing the omission of an inventory and appraisement and that an inventory without appraisement be filed in lieu thereof. And it appearing to the Court that (1) It is hereby ordered that an Inventory and Appraisement be omitted and that an inventory without appraisement be filed in lieu thereof. It is further ordered that this proceeding be recorded and that said pay the costs herein. Judge Timothy J. Grendell Magistrate Abbey L. King American LegalNet, Inc. www.FormsWorkFlow.com