COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGEIndex No.Calendar No.ESTATE OF , DECEASED CASE NO. JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ENTRY APPOINTING FIDUCIARY; LETTERS OF AUTHORITY [For Executors and all Administrators]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Name and Title of Fiduciary THE PEOPLE OF THE STATE OF NEW YORK TOOn hearing in open Court the application of the above fiduciary for authority to administer decedent's estate, the Court finds that; Decedent died [check one of the following] . testate -. intestate -on , domiciled in .GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable[Check one of the following] . Bond is dispensed with by the Will -. Bond is dispensed with by law -. Applicant has executed and filed an appropriate bond, which is approved by the Court; and,located at County ofApplicant is a suitable and competent person to execute the trust.o'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 roomThe Court therefore appoints applicant as such fiduciary, with the power conferred by law to fully administer decedent's estate. This entry of appointment constitutes the fiduciary's letters of authority.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. DateJudge Jack R. Puffenberger, one of the Justices of theCourt in Witness, Honorableday of, 20 County,CERTIFICATE OF APPOINTMENT AND INCUMBENCY(Attorney must sign above and type name below)The above document is a true copy of the original kept by me as custodian of the records of this Court. It constitutes the appointment and letters of authority of the named fiduciary, who is qualified and acting in such capacity.Attorney(s) forProbate Judge/ClerkOffice and P.O. Address[Seal]By DateTelephone No.: Facsimile No.: E-Mail Address:«ftu5/6L- FORM 4.5 ENTRY APPOINTING FIDUCIARY; LETTERS OF AUTHORITYMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com