PROBATE COURT OF HAMILTON COUNTY, OHIO RALPH WINKLER, JUDGE ESTATE OF CASE NO. , DECEASED CLASSIFICATION FORM FOR ESTATES [Check one of the following: A., B., C., or D] A. This estate requires full administration. The following special instructions are given to the Court [Check if applicable: 1. and/or 2.] 1. 2. A citation to the surviving spouse shall be required in this estate. Pursuant to R.C. 2109.301(B), the estate is not required to file a partial account or a final account. A Certificate of Termination shall be filed herein. B. C. D. This estate is being opened to pursue a claim for wrongful death or survival action as a result of personal injury, and there are no assets to administer. There are probate assets to administer, and this estate will remain open to pursue a claim for wrongful death or survival action as a result of personal injury. This estate is being opened solely for the purpose of filing or continuing a cause of action in favor of or against the decedent's estate. NOTICE TO EXTEND ADMINISTRATION [R.C. 2109.301, Sup. R 78(B) and (C)] The undersigned hereby gives notice to extend the administration beyond six months for the following reason(s): An 0hio estate tax return must be filed for the estate. A proceeding contesting the validity of the decedent's will pursuant to R.C. 2107.71 has been commenced. The surviving spouse has filed an election to take against the will. The administrator or executor is a party in a civil action, Case No. in The estate is insolvent. An account or certificate of termination shall be due no later than thirteen months after the appointment of the fiduciary. CERTIFICATION THE UNDERSIGNED HAS PERSONALLY EXAMINED THE INDEX OF WILLS DEPOSITED PURSUANT TO R.C. 2107.08 AND CERTIFIES THAT ALL WILLS ON DEPOSIT, REGARDLESS OF THE DATE OF EXECUTION, HAVE BEEN ADMITTED TO PROBATE OR FILED FOR RECORD PURPOSES ONLY. [Sup. Rule 59(A)] Attorney for the Estate Fiduciary for the Estate H.C. FORM 1.01 CLASSIFICATION FOR ESTATES 12/05/03 American LegalNet, Inc. www.FormsWorkflow.com