PROBATE COURT OF SHELBY COUNTY, OHIO WILLIAM R. ZIMMERMAN, JUDGE ESTATE OF , DECEASED CASE NO. ENTRY RELIEVING ESTATE FROM ADMINISTRATION [R.C. 2113.03] Upon hearing the application to relieve decedent's estate from administration, the Court finds that: Decedent died [check one of the following] testate - iintestate. The date of death and domicile are as stated in the application, and the Court has jurisdiction over the estate; Notice to the surviving spouse, heirs at law, legatees, devisees, and other persons was duly effected or dispensed with by the Court as unnecessary. The values of the several assets in the estate, given in the application do not exceed the statutory limits. The Court therefore relieves the estate from administration, and orders [Check and complete whichever of the following are applicable]: That the following personal property be sold [describe]: That the following debts of decedent shall be paid to the extent of assets: That the statutory family allowance be paid to the surviving spouse minor children of the decedentapportioned between the surviving spouse and minor children of the decedent who are not the children of the surviving spouse. Attach Form 7.2 if necessary. That Certificate of Transfer No. , attached to the application and describing decedent's real estate, issue and be preserved in the records of the Court and that authenticated copies of the certificate be delivered as required to the persons entitled to them; That the financial institutions holding accounts in decedent's name as set forth below pay the same upon proper tax release [check one of the following] to the commissioner to Page 1 of 2 FORM 5.6 - ENTRY RELIEVING ESTATE FROM ADMINISTRATION 07/01/77 American LegalNet, Inc. www.FormsWorkflow.com CASE NO. That the remainder of the estate be distributed in cash or in kind, as follows: Name of Distributee Property Value or Amount $ The Court appoints commissioner, to receive and sell or distribute the personal property or proceeds thereof, and to execute all necessary documents of conveyance, including without limitation those necessary to transfer title to any motor vehicle, motorcycle, watercraft, or other titled personal property sold or distributed in kind. The commissioner shall complete these duties and report to the Court within sixty days of the date of this entry. Date Page 2 of 2 William R. Zimmerman, Probate Judge FORM 5.6 - ENTRY RELIEVING ESTATE FROM ADMINISTRATION American LegalNet, Inc. www.FormsWorkflow.com