APPENDIX G NEW CASE INFORMATION SHEET IN THE PROBATE COURT OF WOOD COUNTY, OHIO In the Matter of:________________________________________ Case Number:_________________ Case Information: Please check all that apply: Full Administration: Citation to surviving spouse ( is) ( is not) required. Release from Administration Summary Release 2.3 N Notice to File w/out Probate (Tax and/or Will Only) Foreign Ancillary Real Estate Only Pursuant to R.C. 2107.07 and Sup. R. 59, the undersigned certifies the wills on deposit have been examined and no later will was found on deposit for this decedent. Guardianship: Incompetent Trust: Adoption: Civil: Minor Emergency Conservatorship Other Estate: Testamentary Special Needs Stepparent/Grandparent Private Agency Adult Interstate Foreign Will Contest Land Sale Declaratory Judgment Term/Modification of Trust Concealment of Assets Other ____________________________ Name Change Minor Settlement Birth Registration/Correction Structured Settlement Other ___________________ Misc.: Is this case related to another pending Court case? no yes Name of Court _______________________ Related case name/number: _______________________ *By providing my e-mail address, I agree to receive pleadings and other papers filed subsequent to the summons and original complaint by e-mail pursuant to Civil Rule 5(B) and Wood County Probate Court Local Rule 57.1. __________________________________ *Attorney's E-mail Address _________________________________ * Applicant's E-mail Address _________________________________________ Attorney's Name ________________________________________ Applicant's Name _________________________________________ Attorney's Address _______________________________________ Applicant's Address _________________________________________ _________________________________________ Attorney's Phone Number _______________________________________ _______________________________________ Applicant's Phone Number __________________________________ Attorney's Signature ________________________________ Applicant's Signature American LegalNet, Inc. www.FormsWorkFlow.com