Application To Relieve Estate From Administration Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application To Relieve Estate From Administration Form. This is a Ohio form and can be use in Shelby County (Court Of Common Pleas).
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Tags: Application To Relieve Estate From Administration, 5.0, Ohio County (Court Of Common Pleas), Shelby
PROBATE COURT OF SHELBY COUNTY, OHIO
WILLIAM R. ZIMMERMAN, JUDGE
ESTATE OF
, DECEASED
CASE NO.
APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATION
[R.C. 2113.03]
Applicant states that decedent died on
Decedent's domicile was
Street Address
City or Village. or Township if unincorporated area
Post Office
County
State
Zip Code
[Check one of the following]
Decedent's will has been admitted to probate in this Court.
To applicant's knowledge, decedent did not leave a will.
[Check one of the following]
The assets are $15,000 or less and decedent died on or after January 1, 1976 and before October 20,
1987.
The assets are $25,000 or less and decedent died on or after October 20, 1987 and before November 9,
1994.
The assets are $35,000 or less and decedent died on or after November 9, 1994.
The assets are $50,000 or less and the surviving spouse is entitled to all of the assets and the decedent
died on or after April 16, 1993 and before September 14, 1993.
The assets are $85,000 or less and the surviving spouse is entitled to all of the assets and the decedent
died on or after September 14, 1993.
The assets are $100,000 or less; the surviving spouse is entitled to all of the assets and the decedent died
on or after March 18, 1999.
Applicant asks that the estate be relieved from administration because the assets do not exceed the statutory
limits. A statement of the assets and liabilities of the estate is listed on the attached Form 5.1.
The decedent's surviving spouse, next of kin, legatees, and devisees known to applicant, are listed on the
attached Form 1.0.
Attorney for Applicant
Applicant
Typed or Printed Name
Typed or Printed Name
Address
Address
Phone Number (include area code)
Phone Number (include area code)
Attorney Registration No.
Page 1 of 2
H.C. FORM 5.0 - APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATION
05/03/99
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CASE NO.
WAIVER OF NOTICE
The undersigned surviving spouse, heirs at law, legatees, devisees, and other persons entitled to notice of the
filing of the application to relieve decedent's estate from administration, waive such notice.
Page 2 of 2
H.C. FORM 5.0 - APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATION
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