PROBATE COURT OF LAKE COUNTY, OHIO MARK J. BARTOLOTTA, JUDGE IN THE MATTER OF_______________________________________________________________________ Case No._______________________________ Docket_____________________________ Page____________ APPLICATION TO PAY OR DELIVER MINOR'S ESTATE WITHOUT APPOINTING A GUARDIAN (Estate $25,000 or Less) Revised Code, Sec. 2111.05 In the Matter of the Estate of ___________________________________________ ___________________________________________ Minor__ ____________________________________________________________________, being duly sworn, says that______________ is __________________________________________________________________ of the _____________________________ of _____________________________________________________ and that _____________has in __________ possession the following described property belonging to ___________________________________ aged _______ years, residing at ____________________________ ___________________________________ aged _______ years, residing at ____________________________ ___________________________________ aged _______ years, residing at ____________________________ That there is no duly appointed guardian of said minor ___ and said property in ______hands being $25,000 or less in value, the applicant respectfully asks the Court for authority to pay or deliver said property for the use of said minor _____ to the following persons: Name Address Property to be Delivered ____________________________________________ Sworn to before me and signed in my presence, this Attorney's Name___________________________ ___________day of______________________________ Address__________________________________ ______________________________________________ Phone No.________________________________ ______________________________________________ WAIVER We, the undersigned, hereby consent to the transfer or payment of the within described property as prayed for: Prepared by ___________________________________________ ___________________________________________ ____________________________________________ ____________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com