PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge CERTIFICATE OF DEPOSIT OF WILL Revised Code Section 2107.07 ________________________ Testator's Name __________________________ Person to Whom Will Can be Delivered ________________________ Testator's Address __________________________ Address ________________________ ________________________ Testator's Date of Birth __________________________ __________________________ Date of Birth I hereby certify that on ______________________, 20____, an instrument in writing purporting to be the will of ___________________________, a resident of ____________________, in ________________ County, Ohio, enclosed in a sealed wrapper with the name of the testator endorsed thereon, was deposited for safe-keeping in the office of this Court by ___________________________. This will is to be delivered during the lifetime of the testator only to himself, or to some person authorized by him by an Order in writing to receive the same, duly proved by the oath of a subscribing witness, and to be delivered on the death of the testator to __________________________, the person in the endorsement on the wrapper of the will. Witness my hand and the seal of said Court, on ________________________, 20___. ______________________________________ David E. Woessner, Probate Judge By ______________________________________ Deputy Clerk CERTIFICATE OF DEPOSIT OF WILL American LegalNet, Inc. www.FormsWorkFlow.com