PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge Estate of:, Deceased Case No: INVENTORY AND APPRAISAL [R.C. 2115.02 and 2115.09]To the knowledge of the fiduciary the attached schedule of assets in decedent's estate is complete. The fiduciary determined the value of those assets whose values were readily ascertainable and which were not appraised by the appraiser, and that such values are correct. The estate is recapitulated as follows: Tangible personal property205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205 $ Intangible personal property205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205.. $ Real Property205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205 $ Total205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205205 $ First automobile transferred to surviving spouse under R.C. 2106.18205205205205205205205205205205205205205205205205value $ Second automobile transferred to surviving spouse under R.C. 2106.18205205205205205205205205205205205205205205205.. ..value $ Total value [not to exceed $]205205205205205205205205205205205205205205205205205205205205205205205205205205205205205 $ Insofar as it can be ascertained, an Ohio Estate Tax Return 250 will 250 will not be filed. 250 The fiduciary is also the surviving spouse of the decedent and waives notice of the taking of the inventory. Attorney Fiduciary Attorney Registration Number APPRAISER'S CERTIFICATE The undersigned appraiser agreed to act as appraiser of decedent's estate, and to appraise the property exhibited truly, honestly, impartially, and to the best of the appraiser's knowledge and ability. The appraiser further says that those assets whose values were not readily ascertainable are indicated on the attached schedule by a check in the "Appraised" column opposite each such item, and that such values are correct. Prepared by: Attorney222s Name Appraiser Address Phone # Appraiser222s Address Registration # FORM 6.0 226 INVENTORY AND APPRAISAL60 American LegalNet, Inc. www.FormsWorkFlow.com Case No. WAIVER OF NOTICE OF TAKING OF INVENTORY [R.C. 2115.04] The undersigned surviving spouse hereby waives notice of the time and place of taking the inventory of decedent's estate. Surviving Spouse WAIVER OF NOTICE OF HEARING ON INVENTORY [Use when notice is required by the Court or deemed necessary by the fiduciary] The undersigned, who are interested in the estate, waive notice of the hearing on the inventory. ENTRY SETTING HEARING The Court sets at o'clock . M. as the date and time for hearing the inventory of decedent's estate. Date David E. Woessner, Probate Judge American LegalNet, Inc. www.FormsWorkFlow.com