COURT COUNTY OFPROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.ESTATE OF , DECEASED CASE NO. Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)FIDUCIARY'S ACCOUNT [R.C. 2109.30, 2109.301 and 2109.32][Executors and Administrators]The fiduciary offers the account given below and on the attached itemized statement of receipts and disbursements. The fiduciary states that the account is correct, and asks that it be approved and settled. [Check one of the following] . This is a partial account. A statement of the assets remaining in the fiduciary's hands is attached. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOThis is a final account. A statement of the assets remaining in the fiduciary's hands for distribution to the beneficiaries is attached. .GREETINGS: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 ofThis is an account of distribution and the fiduciary asks to be discharged upon its approval and settlement. . This is a final and distributive account and the fiduciary asks to be discharged upon its approval and settlement. . This is a supplemental final account. [Complete if this is a partial account, or if one or more accounts have previously been filed in the estate] The period of this account is from 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 roomto[Complete if applicable] Accounts previously filed in the estate, the accounting periods, and the fiduciary and attorney fees paid for each period, are as follows: Date FiledYour 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.Accounting PeriodAttorney Fees PaidFiduciaryFees Paid $, one of the Justices of theCourt in Witness, Honorableday of, 20 County,$ Note:2117.06(K) states: The distributee may be liable to the estate up to the value of the distribution and may be required to return all or any part of the value of the distribution if a valid claim is subsequently made against the estate within the time permitted under this section . 2109.32(C) states: The rights of any person with a pecuniary interest in the estate are not barred by approval of an account pursuant to division (A) and (B) of this section. These rights may be barred following a hearing on the account pursuant to section 2109.33 of the Revised Code .(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:«ftu24/18-Mobile Tel. No.:1/1/02PAGE 1 OF FORM 13.0 FIDUCIARY'S ACCOUNTAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CASE NO.:::::::Index No.This account is recapitulated as follows: RECEIPTSPersonal property not sold Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)$Proceeds from sale of personal property Real property not sold Proceeds from sale of real property Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other receipts .Total receipts ..$THE PEOPLE OF THE STATE OF NEW YORK TODISBURSEMENTSFiduciary fees this accounting period $GREETINGS:Attorney fees this accounting period . Other administration costs and expenses .. Debts and claims against estate . Ohio and federal estate taxes . Personal property distributed in kind Real property transferred .. Other distributions to beneficiaries ..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 roomOther disbursements .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.Total disbursements .. $ BALANCE REMAINING IN FIDUCIARY'S HANDS .. $, one of the Justices of theCourt in Witness, Honorableday of, 20 County, AttorneyFiduciary(Attorney must sign above and type name below)Attorney Registration No. DateAttorney(s) for«ftiI-ENTRY SETTING HEARINGThe Court sets at o'clock . M., as the date and time for hearing the above account. Office and P.O. Address DateTelephone No.: Facsimile No.: E-Mail Address:Judge Jack R. Puffenberger1/1/02PAGE 2 OF FORM 13.0 FIDUCIARY'S ACCOUNTMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com