PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE DISINTERMENT OF , DECEASED CASE NO. SURVIVING SPOUSE AND NEXT OF KIN The following are decedents known surviving spouse, and other known sur vivors, who are or would be entitled to inherit under the statutes of descent and distribution. Name Residence Address Relationship to Decedent Birthdate of Minor Surviving Spouse Date Applicant (or give other title) American LegalNet, Inc. www.USCourtForms.com FORM 612.01 - SURVIVING SPOUSE AND NEXT OF KIN 02/10/03