PROBATE COURT OF GEAUGA COUNTY, OHIO JUDGE CHARLES E. HENRY Estate of , DECEASED Case No. SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATION Revised Code, Sec. 2129.04 Applicant says that the decedent named in the attached application for authority to administer the estate died [check one of the following] - owning property in this county having a debtor residing in this county. Applicant is a resident of Ohio. [Check one of the following three paragraphs] Applicant is the general executor named in decedent's Will, and is duly appointed, qualified and acting in that capacity in the state of . An exemplified record of the grant of his/her letters of authority is attached. Applicant is named in decedent's Will as executor of his/her Ohio estate. Applicant is a resident of this county. Decedent either died intestate, or did not designate an Ohio executor or administrator in his/her Will. [Check if applicable] and offered for record. An authenticated copy of decedent's Will, duly proved in another state, is attached . The estimated value of decedent's Ohio estate is $ Applicant 4.1 SUPPLEMENTAL APLICATION FOR ANCILLARY ADMINISTRATION American LegalNet, Inc. www.FormsWorkFlow.com