PRINT CLEAR PROBATE COURT OF LAKE COUNTY, OHIO MARK J. BARTOLOTTA, JUDGE ESTATE OF: __________________________________________, DECEASED CASE NO: ______________________ REPORT OF NEWLY DISCOVERED ASSETS AND JUDGMENT ENTRY (R.C.2113.69) The Fiduciary says that newly discovered assets that have come into the fiduciary's hands after the filing of the original inventory and Appraisal on ____________ 20____, are as follows: ITEM ESTIMATED VALUE Fiduciary's Signature Fiduciary's Typed or Printed Name Street Address City State Zip Phone Number (including Area code) JUDGMENT ENTRY This day came the fiduciary of the above captioned estate and made and filed the fiduciary's report of newly discovered assets which have come into the fiduciary's hands since the filing of the original Inventory in said estate. And it appearing to the Court that said report is in all respects correct, it is ordered that the fiduciary administer, account for and distribute such assets in like manner as if received prior to the filing of the original Inventory without being required to make and inventory or appraisement of the same. Approved: Attorney for Fiduciary Probate Judge L.C. FORM 6.1 ­ REPORT OF NEWLY DISCOVERED ASSETS American LegalNet, Inc. www.FormsWorkFlow.com