PROBATE COURT OF HAMILTON COUNTY, OHIO RALPH WINKLER, JUDGE IN THE MATTER OF CASE NO. ENTRY ORDERING PAYMENT OF UNCLAIMED FUNDS The Court finds that on the ($ day of , , ) was paid from the Court's escrow account to the County treasury in accordance with R.C. 2335.36 as unclaimed funds for the benefit of the applicant. [see attached] The Court further finds that the applicant, whose name and address appear below, is the payee listed on check number and has demonstrated to the Court the right to receive the funds. The Court orders payment in the amount of Dollars ($ ) to the Applicant, , from the county treasury, without interest, and orders that the Hamilton County Auditor issue a warrant for said sum. Date Type or Print the following information: Applicant Printed Name Applicant's Signature Ralph Winkler, Probate Judge Magistrate Address ( ) Phone No. (including area code) H.C. FORM 110.63 - ENTRY ORDERING PAYMENT OF UNCLAIMED FUNDS 04/20/06 American LegalNet, Inc. www.FormsWorkFlow.com