PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE ESTATE OF ______________________________________________________, DECEASED CASE NO. ______________________ ORDER UPON REPORT ON CONTENTS OF SAFE DEPOSIT BOX This matter comes before the Court upon a Report on Contents of Safe Deposit Box filed on ________________________________________. The Report sets forth: Will(s) (and Codicil(s)) removed from safe deposit box and delivered to the Court. Contents of safe deposit box included personal property of the decedent, which is deemed to be subject to probate administration. Contents of safe deposit box included personal property of the decedent, which is deemed not subject to probate administration. No contents. Other – Specify: It is therefore ORDERED that: Leave granted to file for an administration of decedent’s estate no later than 30 days from the date of this Order If no administration is filed by the 30th day from the date of this Order, this matter will be closed upon further order of the Court. There being no assets to administer, this matter is closed. Other: Judge Jack R. Puffenberger Copies mailed this _____ day of ____________________________, 20____, by ordinary U.S mail to: Es28.je LCPC FORM 2.8JE – ORDER - REPORT ON CONTENTS OF SAFE DEPOSIT BOX EFF. 09/22/2009 American LegalNet, Inc. www.FormsWorkFlow.com