PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE IN THE MATTER OF THE GUARDIANSHIP OF __________________________________________ CASE NO. ______________________ BANK CERTIFICATE N.B. Must be executed when funds are on deposit. I HEREBY CERTIFY that the within named fiduciary, on the date named below, had on deposit in The ____________________________ of _______________________, Ohio The sum of $__________________ on __________________ to the credit of Nature of Deposit _____________________________________________________________. Bank Dated , 20 By Cashier Fiduciary BANK CERTIFICATE N.B. Must be executed when funds are on deposit. I HEREBY CERTIFY that the within named fiduciary, on the date named below, had on deposit in The ____________________________ of _______________________, Ohio The sum of $__________________ on __________________ to the credit of Nature of Deposit _____________________________________________________________. Bank Dated , 20 By Cashier Fiduciary Attach to Guardian Account form 15.8 26/92n- I, ______________________, Attorney-at-law, hereby certify, that the within instrument was prepared and/or examined by me, and that the same, in my opinion, is correct and proper. American LegalNet, Inc.American LegalNet, Inc. FORM 15.81 BANK CERTIFICATES www.USCourtForms.comwww.USCourtForms.com