PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE IN THE MATTER OF CASE NO. __________________________________ __________________________________ PETITION FOR APPROVAL OF DESIGNATION OF SUCCESSOR CUSTODIAN R.C. 5814.07(E) Pursuant to the Ohio Transfers to Minors Act, the property described in Exhibit A, attached, is custodial property held for ______________________________, a minor. MINOR'S INFORMATION The minor resides at: ____________________, ____________________, _____, __________. The minor's natural parents are: ______________________________ and _____________________________. A legal guardian has ___ / has not ___ been appointed for the minor. The minor's legal guardian, if one has been appointed, is: ______________________________. CUSTODIAN'S INFORMATION The estate or guardianship of the custodian is pending before the Montgomery County Probate Court and has been assigned Case No. ____________________. The custodian is: ___ ___ Deceased, as set forth in the death certificate attached as Exhibit B; Incompetent, as set forth in the judgment entry attached as Exhibit B. APPLICANT'S INFORMATION The applicant is the: ___ ___ Executor or administrator of the custodian's estate; Guardian of the custodian's person and/or estate. 11/20/2015 M.C. FORM MSC 104B PETITION FOR APPROVAL OF DESIGNATION OF SUCCESSOR CUSTODIAN American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. __________________________________ PETITION The applicant represents that: ___ No successor custodian is designated by the donor or transferor in the donor's or transferor's will or trust; ___ The custodian is deceased and no successor custodian is designated by the custodian in the custodian's will; ___ ___ The custodian is deceased and died intestate; The custodian is incompetent. The applicant further represents that a successor custodian must be designated for the property described in Exhibit A. The applicant has designated _____________________________ as the successor custodian. The applicant petitions this Court for approval of the foregoing designation. The consents of the minor's natural parents or legal guardian, if one has been appointed, are ___ / are not ___ attached as exhibits to this petition. If the consents are not attached, the petition must be set for hearing and notice of the petition and hearing must be served upon the minor's natural parents or legal guardian, if one has been appointed. ________________________________ Attorney Signature ________________________________ Attorney Name ________________________________ Address ________________________________ City State Zip Code ________________________________ Telephone Number ________________________________ Attorney Registration No. ________________________________ Applicant Signature ________________________________ Applicant Name ________________________________ Address ________________________________ City State Zip Code ________________________________ Telephone Number 11/20/2015 M.C. FORM MSC 104B PETITION FOR APPROVAL OF DESIGNATION OF SUCCESSOR CUSTODIAN American LegalNet, Inc. www.FormsWorkFlow.com