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Application For Short Form Release Of Administration Form. This is a Ohio form and can be use in Shelby County (Court Of Common Pleas).
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Tags: Application For Short Form Release Of Administration, 5.12, Ohio County (Court Of Common Pleas), Shelby
Prob. 5.0 A
COUNTY, OHIO
COMMON PLEAS COURT, PROBATE DIVISION,
, Deceased.
In the matter of the Estate of:
Case No. _____________________________
APPLICATION FOR SHORT FORM RELEASE OF ADMINISTRATION
(O.R.C. 2113.03)
, who resides at
Now comes
, who having been first duly sworn,
states:
1.
Applicant’s relationship to decedent is
;
2.
Decedent’s legal residence at time of death
;
3.
Decedent’s date of death
;
4.
Decedent (did) (did not) have a will;
5.
Attached is a list of surviving spouse, next of kin, legatees and devisees known to affiant, entitled to
inherit (1.0);
6.
Decedent’s assets consist of the following (Assets and probable value)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________;
7.
That applicant has paid from his own assets, will assume the responsibility of paying from decedent’s
assets, or has provided the funeral and burial expenses and services;
8.
Decedent’s funeral and burial expenses were as follows: Itemize:
____________________________________________________________________________________
____________________________________________________________________________________;
9.
Applicant requests the Court to enter an order directing and authorizing applicant to collect the assets and
distribute them as directed by the Court;
10.
That applicant will distribute within 30 days all assets of decedent covered by the order as directed by the
Court and receipt therefor to the Court.
Applicant
Sworn to before me and signed in my presence, this
20_____.
day of
.
Notary Public
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COMMON PLEAS COURT, PROBATE DIVISION,
COUNTY, OHIO
, Deceased.
In the matter of the Estate of:
Case No. _____________________________
ORDER
(O.R.C. 2113.03)
The matter came on for hearing on an application filed in this cause in conformance with O.R.C. 2113.03
and the Court finds from the application that a short form Release from Administration is applicable in this estate.
WHEREFORE, IT IS THE ORDER OF THIS COURT that:
___
the estate be relieved from administration;
___
the financial institution holding accounts in decedent=s name, pay the same to
, the applicant herein and that said applicant gather such other
assets as are listed in said application;
___
said applicant shall apply the assets first in the payment of or reimbursement for the cost in filing
this proceeding to
, secondly in payment of or
reimbursement for the burial expenses in the amount of $
to __________________
in that order;
___
said applicant shall apply the remaining assets in the payment of the family allowance in the
amount of $
___
to
;
the Court further orders: __________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.
_____________________________________________
Judge
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