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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATION Revised Code, Sec. 2129.04 Applicant says that the decedent named in the attached application for authority to administer the estate died [Check one of the following] -. owning property in this county . having a debtor residing in this county.THE PEOPLE OF THE STATE OF NEW YORK TOApplicant is a resident of Ohio. [Check one of the following three paragraphs] .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 ofApplicant is the general executor named in decedent's Will, and is duly appointed, qualified and acting in that capacity in the state of . An exemplified record of the grant of his letters of authority is attached. .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 roomApplicant is named in decedent's Will as executor of his Ohio estate. .Applicant is a resident of this county. Decedent either died intestate, or did not designate an Ohio executor or administrator in his Will. [Check if applicable] . An authenticated copy of decedent's Will, duly proved in another state, is attached and offered for record. The estimated value of decedent's Ohio estate is $ .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 theCourt in Witness, Honorableday of, 20 County,Applicant(Attorney must sign above and type name below)Attorney(s) forI, , Attorney-at-law, hereby certify, that the within instrument was prepared and/or examined by me, and that the same, in my opinion, is correct and proper. «ftu5/24-Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:FORM 4.1 SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATIONAmerican LegalNet, Inc. www.USCourtForms.com