PROBATE COURT OF MAHONING COUNTY, OHIO JUDGE MARK BELINKY IN THE MATTER OF: _____________________________________________, DECEASED CASE NO.:__________________ REPORT OF CASE STATUS The undersigned Fiduciary and the Attorney of Record represent that this is the _____ Status Report (last report filed on _________) under the above case and their report follows. GENERAL STATUS Certificate of Notice of Will Filed on: ___________________ Inventory: Filed on: _______________ Amended on: _______________ Approved: Yes No Date: ______________________ Reason: _____________________________________ ______ Partial filed/waived on: _____________________ Distributive Account filed on: _______________________ Account: There is / (R.C. §2117.06) There is no pending claim or litigation related to this Estate or creditor’s claim The address listed below for the Fiduciary and the Attorney of Record are current as of the date of this filing. Expected date of closing of case: ___________________________________________ The reason the Estate remains open and pending is, pursuant to R.C. §2109.30(B): _____________________________________________________________________________ _____________________________________________________________________________ Attorney of Record Fiduciary ____________________________________ _____________________________________ Signature Signature ____________________________________ _____________________________________ Typed Name Typed Name/Title ____________________________________ _____________________________________ Current Address (No P.O. Boxes) Current Address (No P.O. Boxes) ____________________________________ _____________________________________ City, State, Zip Code City, State, Zip Code ____________________________________ _____________________________________ Area Code/Phone Area Code/Phone ____________________________________ Ohio Supreme Court Registration Number Revised 01-15-08 American LegalNet, Inc. www.FormsWorkFlow.com