PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge In the Matter of the GUARDIANSHIP of: _______________________________________________________ Case No.________________________ Date: ________________________ BANK CERTIFICATE N. B. Must be executed when funds are on deposit. I HEREBY CERTIFY that the within named fiduciary, on the date named below, had on deposit in The __ __ , Ohio, the sum of $ on to the credit of the estate of Nature of Deposit Bank By: Date Fiduciary BANK CERTIFICATE N. B. Must be executed when funds are on deposit. I HEREBY CERTIFY that the within named fiduciary, on the date named below, had on deposit in The ____ , Ohio, the sum of $ to the credit of the estate of on __ Nature of Deposit Bank By: Date Fiduciary Attach to Guardian Account Form 15.8 FORM 15.81 - BANK CERTIFICATES Crensch$\forms\15.81 7/26/01 American LegalNet, Inc. www.USCourtForms.com