PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE ESTATE OF ______________________________________________________, DECEASED CASE NO. ______________________ APPLICATION FOR APPOINTMENT OF A COMMISSIONER TO REPORT ON THE CONTENTS OF A SAFE DEPOSIT BOX Now comes _______________________________________________, an attorney at law licensed in the State of Ohio and states that decedent died on ____________________________ and requests the appointment of him/her self, as Commissioner to review and report the contents of the decedent’s safe deposit box located at __________________________________________, a financial institution in the City/Township of ______________________________, State of Ohio. Applicant requests that as Commissioner he/she be permitted to remove the decedent’s will(s) and codicil(s) from the safe deposit box and deliver the will(s) and codicil(s) to the Court, along with a written report of the contents of the safe deposit box. _______________________________________ Attorney _______________________________________ Typed or Printed Name _______________________________________ Address _______________________________________ _______________________________________ Phone Number (include area code) Attorney Registration No. _________________ ENTRY Upon review of the above Application and for good cause shown, the Court hereby appoints Attorney________________________________________________, as Commissioner to open the decedent’s safe deposit box in the presence of an employee of the above listed financial institution to inventory the contents of the safe deposit box, and to report in writing to the Court the contents of the safe deposit box as well as to deliver any will(s) and codicil(s) of the decedent to the Court, no later than 30 days from the date of this Entry. The report shall be signed and dated by the Commissioner/Attorney, as well as by an employee of the institution where the safe deposit box is located. With the exception of any will(s) and codicil(s), no other property shall be released from the safe deposit box until presentation of Letters of Authority or upon further order of this Court. Date _______________________________________ Judge Jack R. Puffenberger By _______________________________________ Magistrate LCPC FORM 2.8 – APPLICATION FOR APPOINTMENT OF A COMMISSIONER TO REPORT ON THE CONTENTS OF A SAFE DEPOSIT BOX EFF. 09/22/2009 American LegalNet, Inc. www.FormsWorkFlow.com