LORAIN COUNTY PROBATE COURT JUDGE JAMES T. WALTHER IN THE MATTER OF THE GUARDIANSHIP OF ___________________________________ CASE NO. __________________________ ENTRY DISPENSING WITH APPOINTMENT OF GUARDIAN AND ORDERING DEPOSIT Upon hearing the application to dispense with the appointment of a guardian, the Court finds the above-named person to be a minor whose estate is Ten Thousand Dollars ($10,000.00) or less, and that a guardianship is not necessary. Therefore, the Court dispenses with the appointment of a guardian and orders the estate of the minor currently in the possession of __________________________________________________________________ in the sum of $______________________________________ dollars to be deposited in the name of the above minor, with _____________________________________________________, a depository authorized to receive fiduciary funds. The above depository shall file the Verification of Receipt and Deposit with this Court, evidencing that the deposit has been made, within ten days after receipt of the funds. None of the funds, in whole or in part, shall be released by the depository until such time as the minor attains the age of majority or upon order of the Court. Date JUDGE CERTIFICATE OF AUTHENTICATION The above is a true copy of the original kept by me as custodian of the records of this Court. It constitutes the order authorizing the above-designated depositary to receive and deposit the funds. JUDGE and EX-OFFICIO CLERK Deputy Clerk Date LORAIN COUNTY FORM 16.0B ­ ENTRY DISPENSING WITH APPOINTMENT OF GUARDIAN AND ORDERING DEPOSIT American LegalNet, Inc. www.FormsWorkFlow.com