Lorain County Probate Court Judge James T. Walther PROBATE COURT OF LORAIN COUNTY, OHIO ESTATE OF __________________________________________________________________ CASE NO. _____________________ CERTIFICATE OF SERVICE OF ACCOUNT TO HEIRS OR BENEFICIARIES [R.C. 2109.32] This is to certify that a true and accurate copy of the ___________________________ account was Type of Account served __________________________upon all beneficiaries of the estate except: Date The following heir or beneficiary whose address is unknown: ___________________________ _____________________________________________________________________________ The following beneficiary of a specific bequest or devise who has received his or her distribution and for which a receipt has been filed or exhibited with the Court: ____________________________________________________________________________ ___________________________________ __________________________________ Attorney Fiduciary Attorney Registration No.__________________ FORM 13.9 - CERTIFICATE OF SERVICE OF ACCOUNT TO HEIRS OR BENEFICIARIES 12/01/2002 American LegalNet, Inc. www.FormsWorkFlow.com