COURT OUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... .. : Index No. PROBATE COURT OF HAMILTON COUNTY, OHIO : Calendar No. RALPH WINKLER, JUDGE ESTATE OF -againstCASE NO. Plaintiff(s) : : : JUDICIAL SUBPOENA , DECEASED Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .[R.C. . . . . . . . 2109.301, and 2109.32] . . . . 2109.30, FIDUCIARY'S ACCOUNT [Executors and Administrators] : The OF THE STATE account given below E PEOPLEfiduciary offers the OF NEW YORK and on the attached itemized statement of receipts and disbursements. The fiduciary states that the account is correct, and asks that it be approved and settled. [Check one of the following] This is a partial account. A statement of the assets remaining in the fiduciary's hands is attached. REETINGS: This is a final account. A statement of the assets remaining in the fiduciary's hands for distribution to the beneficiaries is attached. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before This is an account of distribution, and fiduciary asks to be discharged upon its approval and settlement. , e Honorable at the Court located at unty of This is a final and distributive account, and the fiduciary asks to be discharged upon its approval and settlement. room , on the day of , 20 , at o'clock in the noon, and at any recessed adjourned date,This is a supplemental final account. to testify and give evidence as a witness in this action on the part of the [Complete if this is a partial account, or if one or more accounts have previously been filed in the estate] The period of this account is from: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to e party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a to sult of your failure to comply. [Complete if applicable] Accounts previously filed in the estate, the accounting periods, and the fiduciary and attorney fees paid for each period, are as follows. Witness, Honorable , one of the Justices of the urt in Date Filed County, day of , 20 Accounting Period Fiduciary Fees Paid Attorney Fees Paid $ $ (Attorney must sign above and type name below) Attorney(s) for Note: 2117.06(K) states: ''The distributee maybe liable to the estate up to the value of the distribution and maybe required to return all or any part of the value of the distribution if a valid claim is subsequently made against the estate within the time permitted Telephone No.: under this section." 2109.32(C) states: ''The rights of any person with a pecuniary interest in the estate are not barred by approval of an account Facsimile No.: pursuant to division (A) and (13) of this section. These rights may be barred following a hearing on the account pursuant to E-Mail Address: section 2109.33 of the Revised Code." Office and P.O. Address Mobile Tel. No.: Page 1 of 2 H.C. FORM 13.0 - FIDUCIARY'S ACCOUNT American LegalNet, Inc. www.USCourtForms.com 12/01/02 COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : This account is recapitulated as follows: RECEIPTS CASE NO. Calendar No. Index No. : Plaintiff(s) : : : : JUDICIAL SUBPOENA Personal property not sold............................................................. $ -against- Proceeds from sale of personal property............................................. Real property not sold................................................................ Defendant(s) : . . . Income....................................................................................... ................................................... Other receipts............................................................................ Proceeds from sale of real property.................................................. THE PEOPLE OF THE STATE OF NEW YORK Total receipts............................................................................ DISBURSEMENTS TO Fiduciary fees this accounting period...............$ $ GREETINGS: Attorney fees this accounting period............... Other administration costs and expenses.......... WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Debts and claims against estate.................... at the Honorable Court located at County of Ohio in room and federal on the taxes....................... , 20 , estate day of , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Personal property distributed in kind............... Real property transferred............................ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Other distributions to beneficiaries.................. 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. Other disbursements................................. Total disbursements.................................. $ Witness, Honorable BALANCE REMAINING IN FIDUCIARY'S HANDS.........$ , one of the Justices of the , 20 Court in County, day of Attorney Attorney Registration No. Fiduciary (Attorney must sign above and type name below) Date Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 2 of 2 H.C. FORM 13.0 - FIDUCIARY'S ACCOUNT American LegalNet, Inc. www.USCourtForms.com