PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE GUARDIANSHIP OF: CASE NO.: GUARDIAN'S BOND [R.C. 2109.04(A)(1)] Amount of this bond $ The undersigned principal, and sureties if any, are obligated to the State of Ohio in the above amount, for payment of which we bind ourselves and our successors, heirs, executors, and administrators, jointly and severally. The principal has accepted in writing the duties of fiduciary in ward's estate, including those imposed by law and such additional duties as may be required by the Court. This obligation is void if the principal performs such duties as required. This obligation remains in force if the principal fails to perform such duties, or performs them tardily, negligently, or improperly, or if the principal misuses or misappropriates estate assets or improperly converts them to the principal's own use or the use of another. [Check if personal sureties are involved.] The sureties certify that each of them owns real estate in this county, with a reasonable net value as stated below. ___________________________________ Date ___________________________________ Principal ___________________________________ Surety by_________________________________ Attorney in fact ___________________________________ Surety by_________________________________ Attorney in fact ___________________________________ Typed or printed name ___________________________________ Typed or printed name ___________________________________ Street Address ___________________________________ Street Address ___________________________________ City State Zip Code Net value of real estate owned in this county: $ ___________________________________ City State Zip Code Net value of real estate owned in this county: $ American LegalNet, Inc. www.FormsWorkFlow.com FORM 15.3 ­ GUARDIAN'S BOND 6/1/16