COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ESTATE OF, DECEASED CASE NO.CERTIFICATE OF TERMINATION [R.C. 2109.30]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I certify I am the executor or administrator and the sole legatee, devisee or heir. I further certify:THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room(1) all debts and claims presented to the estate have been paid in full or settled finally; (2) an estate tax return, if required under Chapter 5731 of the Revised Code, has been filed, and any taxes due under that chapter have been paid; (3) all attorney fees have been [check one] . waived by counsel of record, . paid to counsel of record in the amount of $ ; (4) all fiduciary fees have been [check one] . waived by the fiduciary; . paid to the fiduciary in the amount of $ ; (5) all assets remaining after completion of the activities described above have been distributed to myself as the sole legatee, devisee or heir.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of the Attorney for FiduciaryCourt in Witness, Honorableday of, 20 County,FiduciaryAttorney Registration No. (Attorney must sign above and type name below)ENTRYAttorney(s) forBased upon the above certification it is ordered that the fiduciary and surety, if any, are discharged.Office and P.O. AddressJudge Jack R. PuffenbergerTelephone No.: Facsimile No.: E-Mail Address:«FT24/7Z-Mobile Tel. No.:3/96FORM 13.6 CERTIFICATE OF TERMINATIONAmerican LegalNet, Inc. www.USCourtForms.com