COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar COUNTY, OHIO PROBATE COURT OF HAMILTON No. RALPH WINKLER, JUDGE : Plaintiff(s) JUDICIAL SUBPOENA ESTATE OF CASE NO. -against- : : : , DECEASED Defendant(s) AFFIDAVIT IN LIEU OF : ...................................................... CURRENT ACCOUNT THE PEOPLE OF THE STATE OF NEW YORK TO Being first duly cautioned and sworn, the undersigned, being the fiduciary of the estate hereby states [Check whichever of the following apply]: There is a wrongful death action pending. Fiduciary states that no assets have come into his/her possession and that any assets received for the wrongful death action must be approved by the Court. There is a survival action pending. Fiduciary states that no assets have come into his/her possession and that any assets received from said action must be distributed GREETINGS: according the decedent's Will or the Statute of Descent and Distribution. WE COMMAND YOU, civil all business and excuses being laid aside, you and Fiduciary states that There is a that action pending (in favor of/against) the estate. each of you attend before , the Honorable at the Court no assets have come into his/her possession and that he/she is under a continuing duty County of to accountlocated at for any assets which come into his/her possession. in room , on the day of , 20 , at o'clock in the noon, and at any recessed Other (please provide specifics) or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Fiduciary Court in Witness, Honorable County, , one of the Justices of the day of , 20 Sworn to and subscribed in my presence this day of . (Attorney must sign above and type name below) Notary Public - State of Ohio ENTRY IN LIEU OF CURRENT ACCOUNT The Court hereby accepts the fiduciary's Affidavit in Lieu of a Current Account. Office and P.O. Address Attorney(s) for Telephone No.: Facsimile No.: Ralph Winkler, Probate Judge/Magistrate E-Mail Address: Mobile Tel. No.: H.C. FORM 113.01 - AFFIDAVIT AND ENTRY IN LIEU OF CURRENT ACCOUNT American LegalNet, Inc. www.USCourtForms.com 02/10/03