PROBATE COURT OF GEAUGA COUNTY, OHIO CHARLES E. HENRY, JUDGE ESTATE OF ___________________________________________ DECEASED CASE NO.______________________ CERTIFICATE OF TERMINATION (For dates of death on or after June 23, 1994) I certify I am the executor or administrator in this matter and I am also the sole legatee, devisee or heir. I further certify: (a) all debts and claims presented to the estate have been paid in full or settled finally, attached is a copy of paid funeral bill; (b) an Ohio Estate Tax return, if required under Chapter 5731 of the Revised Code, has been filed, and any estate tax due under that chapter has been paid; (c) all attorney's fees have been waived by or paid to counsel of record of the estate in the amount of $_______ . All fiduciary fees have been waived or paid in the amount of $ _______. I consent to the payment of the attorney's fees in the amount stated above which is the entire fee for the estate administration. I understand that if I do not consent to the fees the matter will be set for hearing; (d) all assets remaining after completion of the activities described above have been distributed to myself as the sole legatee, devisee or heir. ___________________________ Fiduciary American LegalNet, Inc. www.USCourtForms.com ENTRY Based upon the above certification it is ordered that the accountings in this matter be dispensed with and the fiduciary and bondsman, if any, are discharged. ___________________________ Charles E. Henry, Probate Judge PP6 American LegalNet, Inc. www.USCourtForms.com