PROBATE COURT OF SHELBY COUNTY, OHIO WILLIAM R. ZIMMERMAN, JUDGE ESTATE OF , DECEASED CASE NO. PUBLICATION OF NOTICE [Use when only one estate included in notice] To: Newspaper of General Circulation in the County Please publish the following notice [check one of the following] - once once per week for two consecutive weeks once per week for three consecutive weeks. When publication is complete, fill out the attached proof of publication and return to the Court. ''TO ALL PERSONS INTERESTED IN THE ESTATE OF Decedent's Name DECEASED, LATE OF Decedent's Address SHELBY COUNTY PROBATE COURT, CASE NO. An application has been filed asking to relieve the estate from administration, saying that the assets do not exceed the statutory limits. A hearing on the application will be held , at o'clock .M. Persons knowing any reason why the application should not be granted should appear and inform the Court. The Court is located on the Second Floor of the Shelby County Courthouse, Sidney, Ohio 45365-4187" Norman P. Smith, Probate Judge/Deputy Clerk Page 1 of 2 FORM 5.4 - PUBLICATION OF NOTICE 07/01/77 American LegalNet, Inc. www.FormsWorkflow.com CASE NO. PROOF OF PUBLICATION As directed by the Court, the attached notice was published in the named newspaper, in editions dated The cost of publication is $ Editor [or give other title] [Attach copy of printed notice below] Page 2 of 2 FORM 5.4 - PUBLICATION OF NOTICE American LegalNet, Inc. www.FormsWorkflow.com