COURT UNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... .. : : Index No. Calendar No. PROBATE COURT OF HAMILTON COUNTY, OHIO : RALPH WINKLER, JUDGESUBPOENA JUDICIAL Plaintiff(s) -against: : : ESTATE OF CASE NO. , DECEASED Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICATION .................... FOR PAYMENT OF UNCLAIMED INHERITANCE , a beneficiary of the decedent's estate and E PEOPLE OF THE STATE OF NEW YORK Now comes makes application for payment of unclaimed inheritance. Applicant states that on the EETINGS: day of , Dollars the sum of ( WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Honorable at the Court county treasury as unclaimed inheritance for the benefit of the applicant in accordance, with located at unty of oom ,R.C. 2113.64. of on the day , 20 , at o'clock in the noon, and at any recessed adjourned date, to testify and give evidence as a to order the payment the saidof the to applicant. witness in this action on of part sums Applicant moves the Court ) was ordered by the Court to be paid from the decedent's estate to the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ult of your failure to comply. Witness, Honorable County, , one of the Signature Applicant'sJustices of the day of , 20 urt in Typed or Printed Name (Attorney mustAddressand type name below) sign above Attorney(s) for ( ) Phone Number (include Area Code) Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: H.C. FORM 110.60 - APPLICATION FOR PAYMENT OF UNCLAIMED FUNDS American LegalNet, Inc. www.USCourtForms.com 02/10/03