PROBATE COURT OF SHELBY COUNTY, OHIO WILLIAM R. ZIMMERMAN, JUDGE ESTATE OF , DECEASED CASE NO. ENTRY APPOINTING FIDUCIARY- LETTERS OF AUTHORITY [For Executors and all Administrators] Name and Title of Fiduciary On hearing in open Court the application of the above fiduciary for authority to administer decedent's estate, the Court finds that; Decedent died [check one of the following] domiciled in testate - intestate - on , [Check one of the following] Bond is dispensed with by the Will Bond is dispensed with by law Applicant has executed and filed an appropriate bond, which is approved by the Court; and Applicant is a suitable and competent person to execute the trust. The Court therefore appoints applicant as such fiduciary, with the power conferred by law to fully administer decedent's estate. This entry of appointment constitutes the fiduciary's letters of authority. Date William R. Zimmerman, Probate Judge CERTIFICATE OF APPOINTMENT AND INCUMBENCY The above document is a true copy of the original kept by me as custodian of the records of this Court. It constitutes the appointment and letters of authority of the named fiduciary, who is qualified and acting in such capacity. William R. Zimmerman, Probate Judge/Clerk by: [Seal] Date FORM 4.5 - ENTRY APPOINTING FIDUCIARY; LETTERS OF AUTHORITY 07/01/77 American LegalNet, Inc. www.FormsWorkflow.com