PROBATE COURT OF GEAUGA COUNTY, OHIO JUDGE CHARLES E. HENRY ESTATE OF , DECEASED Case No. APPLICATION TO PROBATE WILL [R.C. 2107.11, 2107.18, and 2107.19] Applicant states that the decedent died on Decedent's domicile was Street Address County City or village, or Township if unincorporated Post Office State Zip Code A document purporting to be decedent's last will is attached and offered for probate, and applicant waives notice of probate of this will. Decedent's surviving spouse, children, next of kin, legatees, and devisees, known to applicant, are listed on the attached Form 1.0. Attorney for Applicant Applicant Type or print name Type or print name Address Address City State Zip Phone Number (include area code) City State Zip Phone number (include area code) Attorney Registration No. WAIVER OF NOTICE OF PROBATE OF WILL The undersigned, being persons entitled to notice of the probate of this will, waive such notice. After a certificate is filed evidencing these waivers and any notices given, any action to contest the validity of this will must be filed no more than three months after the filing of the certificate for estates of decedents who die on or after January 1, 2002, and no more than four months after the filing of the certificate for estates of decedents who die before January 1, 2002. 2.0 APPLICATION TO PROBATE WILL 12/01/2002 American LegalNet, Inc. www.FormsWorkFlow.com [Side 2 of Form 2.0] CASE NO. ENTRY ADMITTING WILL TO PROBATE The Court finds that the purported will of decedent, either on its face or from testimony of the witnesses complies with applicable law. It is therefore admitted to probate and ordered recorded. The Court further orders that notice of the probate be given to all parties entitled to notice. Date JUDGE CHARLES E. HENRY CERTIFICATE OF WAIVER OF NOTICE The undersigned states that all persons entitled to notice: [Check applicable boxes] Have waived notice of the application for probate of this will or of a contest as to jurisdiction. Have waived notice of this will's admission to probate. The waivers are filed herein. Have not been notified because their names of places of residence are unknown and cannot with reasonable diligence be ascertained. Fiduciary Applicant for the admission of this will to probate Applicant for a release from administration Other interested person Attorney for any of the above Attorney Registration No. American LegalNet, Inc. www.FormsWorkFlow.com