LORAIN COUNTY PROBATE COURT JUDGE JAMES T. WALTHER IN THE MATTER OF THE GUARDIANSHIP OF ___________________________________ CASE NO. __________________________ APPLICATION FOR DISPENSING WITH APPOINTMENT OF GUARDIAN Applicant, a resident of Lorain County, Ohio, asks to dispense with the appointment of a Guardian of the above-named minor pursuant to RC 2111.05, and further asks that the funds be: Check Check one one (1) Delivered to the minor (3) Delivered to the natural parent of the minor (2) Delivered to the custodian of the minor (4) Deposited in a financial institution for the minor For items 1, 2, and 3, attach a narrative statement setting forth reasons The minor is: Name _____________________________________________________________________________ Age _____________ Residence (include present temporary address) _______________________________________________________________ ____________________________________________________________________________________________________ Birthdate ______________________________________________ APPLICANT ATTACHES FORM 15.0 TO THIS APPLICATION The estimated value of the estate of the proposed minor is: Personal Property ....................................................................................................... $ _________________ Real Estate .......................................................................................................... $ _________________ Annual Rents ......................................................................................................... $ _________________ Total....................................................................... $ _________________ ___________________________________________ Attorney for Applicant ___________________________________________ Typed or Printed Name ___________________________________________ Address ___________________________________________ City State Zip ___________________________________________ Phone Number (include area code) ___________________________________________ Supreme Court Registration Number _______________________________________________ Applicant _______________________________________________ Typed or Printed Name _______________________________________________ Address _______________________________________________ City State Zip _______________________________________________ Phone Number (include area code) LORAIN COUNTY FORM 16.0A – APPLICATION FOR DISPENSING WITH APPOINTMENT OF GUARDIAN American LegalNet, Inc. www.FormsWorkFlow.com JUDGMENT ENTRY (ORDER FOR NOTICE) This day __________________________________________ appeared in open Court, and filed an application to dispense with the appointment of a guardian of _____________________________________ __________________________________________________, a minor. It is ordered that the ___________ day of ______________________________________, _______________ at ______________ o’clock ______.m. be fixed as the time of hearing on this application. It is further ordered that written notice be served personally upon minors over fourteen years of age and in the manner as provided by law upon all others entitled to receive notice. Date JUDGE WAIVER OF NOTICE We, the undersigned, do each of us hereby waive the issuing of service of notice, and voluntarily enter our appearance herein. LORAIN COUNTY FORM 16.0A – APPLICATION FOR DISPENSING WITH APPOINTMENT OF GUARDIAN American LegalNet, Inc. www.FormsWorkFlow.com