MARK J. BARTOLOTTA, JUDGE PROBATE COURT OF LAKE COUNTY, OHIO IN THE MATTER OF _______________________________________________________________________ Case No. __________________________ Docket ___________________________ Page _________________ ORDER OF APPRAISEMENT Revised Code, Sec. 2127.22 To_______________________________________________________________________________________ ___________________________________________________________________: In obedience to an order and decree of the Court of Common Pleas, Probate Division within and for said County, made this day, in a certain cause wherein you as____________________________________________ __________________________________________________________________________________________ _________________________________________________________________are Plaintiff_____and that by oaths of___________________________________________________________________________________ _________________________________________and______________________________________________ judicious disinterested persons of the vicinity, not of kin to the petitioner, and upon actual view, you cause a just valuation and appraisement to be made according to law of the following described premises, to wit: You will make return of your proceedings to this Court forthwith upon execution of this order. WITNESS my signature and seal of said Court at ______________________Ohio, this____________ day of____________________________________ __________________________________________ Judge American LegalNet, Inc. www.FormsWorkFlow.com RETURN To the Court of Common Pleas, Probate Division of ____________________________________County, Ohio In obedience to the foregoing order, I have caused the same to be duly executed, as will fully appear by the proceedings hereto attached. Dated the_________________ day of_____________________________ __________________________________________ __________________________________________ OATH OF APPRAISERS The State of Ohio,_________________________County. We, the undersigned appraisers, do make solemn oath that we will, upon actual view, truly and impartially appraise the within described real estate at its true value in money, and perform the duties required of us in pursuance of the foregoing order. Name Address ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Appraisers Sworn to before me and subscribed in my presence, this ______________day of_________________________ ____________________________________________ ____________________________________________ APPRAISERS' RETURN In obedience to the forgoing order, after being first duly sworn, and upon actual view of the premises therein described, we the undersigned appraisers, estimate the value in money of said real estate at ________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ___________________________________________________________________________________Dollars, __________________________________________________________________________________________ __________________________________________________________________________________________ Given under our hands, this__________________day of __________________________________________ _______________________________________ _______________________________________ _______________________________________ Appraisers Appraisers' fees $__________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com