PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE IN THE MATTER OF___________________________________, MINOR CASE NO. ________________________________ ENTRY DISPENSING WITH THE APPOINTMENT OF A GUARDIAN This case is before this Court on the application to dispense with the appointment of a guardian. The Court finds that: 1) the above name person is a minor who resides in Montgomery County, 2) the estate of this minor is Ten Thousand Dollars or less; and 3) a guardianship of the minor’s estate is not necessary. Wherefore, the appointment of a guardian of the minor is dispensed with and the $_________ in funds for the benefit of the minor that are currently in the possession of __________________________________ are to be deposited in the name of the minor at_________________________________ a depository authorized to receive fiduciary funds under Ohio law. The applicant and the depository listed above shall file a Verification of Receipt and Deposit with this Court within thirty days of the issuance of this order. NO FUNDS MAY BE WITHDRAWN FROM THIS ACCOUNT WITHOUT COURT ORDER OR UNTIL THE MINOR REACHES THE AGE OF MAJORITY. _____________________ Date ___________________________ Alice O. McCollum, Judge CERTIFICATE OF AUTHENTICATION The above is a true copy of the original kept by me as custodian of the records of this Court. It constitutes the order authorizing the above designated depository to receive and deposit funds. Alice O. McCollum Judge and Ex-Officio Clerk By___________________________________ Deputy Clerk _____________________________________ Date M.C. Form 16.0D – Entry Dispensing with the Appointment of a Guardian 05/07/09 American LegalNet, Inc. www.FormsWorkFlow.com