PROBATE COURT OF SUMMIT COUNTY, OHIO ESTATE OF _______________________________________________________, DECEASED CASE NO. ________________________ APPLICATION FOR ADMISSION TO PROBATE OF SPOLIATED OR LOST WILL (R.C. 2107.26-28) The Testator/Testatrix made and duly signed his/her Last Will and Testament, and acknowledged his/her signature thereto, which Will was duly attested and subscribed to in the presence of the Testator/Testatrix by and . The Will was in existence and unrevoked at decedent's death on , 20 , but that subsequent to his/her death, the same has become lost and cannot be found, although a diligent search has been made. If the facts are known by the applicant as to how the Will became destroyed or lost, they are as follows: . The applicant represents that he/she has a copy of the Will, which is attached. The applicant represents that he/she cannot give a copy of the Will, but the contents of the Will was substantially as submitted on Exhibit A, attached hereto. The applicant asks that the Will be established and admitted to Probate. Attorney for Applicant Typed or Printed Name Address City Phone Number (Include Area Code) Attorney Registration No. State Zip Applicant Signature Typed or Printed Name Address City Phone Number (Include Area Code) State Zip Decedent's Domicile: Address City State Zip Form ES.15 American LegalNet, Inc. www.FormsWorkFlow.com