PROBATE COURT OF ____________________ COUNTY, OHIO IN THE MATTER OF THE ESTATE OF: _____________________________________ CASE NO. _________________________ APPLICATION TO FILE WILL FOR RECORD ONLY Applicant states that decedent died on _______________________________________________ Decedent’s domicile was __________________________________________________________ Street Address _______________________________________________________________________________ City or Village, or Township if unincorporated area County _______________________________________________________________________________ Post Office State Zip Code A document purporting to be the original of decedent’s Will is attached and offered for filing. _________________________________ Attorney for Applicant ____________________________________ Applicant _________________________________ Typed or Printed Name and Registration No. ____________________________________ Typed or Printed Name _________________________________ Address ____________________________________ Address _________________________________ ____________________________________ _________________________________ Telephone Number ____________________________________ Telephone Number ENTRY A document purporting to be the original of the Last Will and Testament of the above named decedent has been filed with this Court. The Court finds that no application for admission to probate has been made. It is hereby ordered that the document and all related papers be filed for record only with the Court; and upon filing of Estate Tax Return Release from Administration documents this proceeding is closed without prejudice. ____________________________________ Probate Judge American LegalNet, Inc. www.FormsWorkflow.com