IN THE PROBATE COURT OF MAHONING COUNTY, OHIO JUDGE MARK BELINKY IN THE MATTER OF THE DISINTERMENT OF:______________________________, DECEASED CASE NO.: _________________ JUDGMENT ENTRY AND ORDER UPON APPLICATION FOR DISINTERMENT [R.C. 517.24] Upon hearing the application to disinter the remains of the Decedent, the Court finds that: The Decedent’s remains are presently interred at _______________________________________ Cemetery, located at ____________________________________________________________________. Notice to all those entitled thereto was duly effected by the Applicant, or dispensed with as unnecessary, or waived. No interested party has established that disinterment would be against the Decedent’s religious beliefs or should otherwise be denied. That the evidence establishes that the disinterment of the Decedent’s remains should be sustained / denied. IT IS THEREFORE ORDERED, ADJUDGED and DECREED that the Application for Disinterment is hereby sustained / denied. IT IS FURTHER ORDERED, ADJUDGED and DECREED that the Decedent’s remains shall/ shall not be removed from their present place of interment and reinterred at __________________ located at ______________________________________________________________________________. IT IS SO ORDERED. Dated: ________________ __________________________________ Hon. Mark Belinky, Judge Revised 01-15-08 American LegalNet, Inc. www.FormsWorkflow.com