PROBATE COURT OF HAMILTON COUNTY, OHIO ESTATE OF_______________________________________________________, DECEASED CASE NO.______________________ APPLICATION TO DISTRIBUTE IN KIND [R.C. 2113.55] The fiduciary asks the Court to authorize distribution in kind, according to the within schedule, of personal property in the estate which is not specifically bequeathed and is available for distribution. [Check one of the following] - [ ] Decedent's known debts have been paid or secured to be paid. [ ] Sufficient assets are in hand to pay decedent's known debts. [Check whichever of the following paragraphs are applicable]: [ ] All interested persons whose interests may be affected by the distribution have consented to the distribution as proposed in the within schedule. [ ] All interested persons whose interests may be afftected by the distribution have not consented to the distribution as proposed in the within schedule. The fiduciary will give notice as required by law to all interested persons who have not consented and who are listed on the notice of hearing accompanying this application. [ ] The distribution is to satisfy part or all of the allowance for support due decedent’s [check applicable boxes] - [ ] surviving spouse - [ ] minor children [ ] The distribution is with the consent of the surviving spouse, and is to satisfy part or all of the specific monetary share due the surviving spouse under the Statute of Descent and Distribution [if this paragraph is checked, the following must be completed and the surviving spouse must sign the consent form]: Specific monetary share due surviving spouse $__________________ Less: Value of property to be distributed hereunder to surviving spouse $__________________ Probate assets previously received by surviving spouse in excess of the allowance for support $__________________ Balance of specific monetary share remaining $__________________ _______________________________________ Fiduciary Page 1 of 2 FORM 10.0 - APPLICATION TO DISTRIBUTE IN KIND 10/01/98 2002 © American LegalNet, Inc. CONSENT TO DISTRIBUTION IN KIND The undersigned, being the decedent’s surviving spouse or other interested persons, hereby consent to the distribution as described herein. ____________________________________________ Surviving Spouse ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ SCHEDULE OF PROPERTY TO BE DISTRIBUTED IN KIND Name of Distributee Page 2 of 2 Items to be Distributed FORM 10.0 – APPLICATION TO DISTRINUTE IN KIND Appraised Value $ DECEDENT ________________ 2002 © American LegalNet, Inc.