PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE DISINTERMENT OF__________________________________________, DECEASED CASE NO. _______________________ AFFIDAVIT OF SERVICE OF NOTICE ON HEARING ON APPLICATION FOR DISINTERMENT The undersigned Applicant states that all persons interested in the Application, as described by R.C. Section 517.24(B)(2)(a), have been notified according by law; or have waived notice of the hearing on the Application; or their names and addresses are unknown to Applicant and cannot with reasonable diligence be ascertained. The following persons for the following reasons were not notified: Name ____________________________________ ____________________________________ ____________________________________ Reason ___________________________________ ___________________________________ ___________________________________ ________________________________ Applicant Sworn to and subscribed in my presence this day ____________________________, 20______. ______________________________________ Notary Public/Deputy Clerk FORM 25.3 ­ AFFIDAVIT OF SERVICE OF NOTICE OF HEARING ON APPLICATION FOR DISINTERMENT Effective Date: March 1, 2014 American LegalNet, Inc. www.FormsWorkFlow.com