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. INVENTORY AND APPRAISAL [R.C. 2115.02 and 2115.09]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .To the knowledge of the fiduciary the attached schedule of assets in decedent's estate is complete. The fiduciary determined the value of those assets whose values were readily ascertainable and which were not appraised by the appraiser, and that such values are correct. The estate is recapitulated as follows: Tangible personal propertyTHE PEOPLE OF THE STATE OF NEW YORK TO .$Intangible personal property .$GREETINGS:Real property ...$WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Total .... $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 roomFirst automobile transferred to surviving spouse Under R.C. 2106.18 value $ Second automobile transferred to surviving spouse Under R.C. 2106.18 value $ Total value [not to exceed $40,000.00]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 theInsofar as it can be ascertained, an Ohio Estate Tax Return . will . will not be filed. .Court in Witness, Honorableday of, 20 County,The fiduciary is also the surviving spouse of the decedent and waives notice of the taking of the inventory. AttorneyFiduciary(Attorney must sign above and type name below)Attorney Registration No. Attorney(s) forAPPRAISER'S CERTIFICATEThe undersigned appraiser agrees to act as appraiser of decedent's estate, and to appraise the property exhibited truly, honestly, impartially, and to the best of the appraiser's knowledge and ability. The appraiser further says that those assets whose values were not readily ascertainable are indicated on the attached schedule by a check in the Appraised column opposite each such item, and that such values are correct.Office and P.O. AddressAppraiser «FT7/1B-Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:1/1/02FORM 6.0 INVENTORY AND APPRAISALAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.CASE NO. Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)WAIVER OF NOTICE OF TAKING OF INVENTORY [R.C. 2115.04]The undersigned surviving spouse hereby waives notice of the time and place of taking the inventory of decedent's estate.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Surviving SpouseTHE PEOPLE OF THE STATE OF NEW YORK TOWAIVER OF NOTICE OF HEARING ON INVENTORY [Use when notice is required by the Court or deemed necessary by the fiduciary]The undersigned, who are interested in the estate, waive notice of the hearing on the inventory.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 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 roomYour 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 theCourt in Witness, Honorableday of, 20 County,«FTIW-(Attorney must sign above and type name below)ENTRY SETTING HEARINGAttorney(s) forThe Court sets at o'clock . M., as the date and time for hearing the inventory of decedent's estate.Office and P.O. Address DateJudge Jack R. PuffenbergerTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:1/1/02PAGE 2 OF FORM 6.0 INVENTORY AND APPRAISALAmerican LegalNet, Inc. www.USCourtForms.com