PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge Estate of: _________________________________________________________________________________, Deceased Case No.______________________ Date:____________________________ REPORT OF DISTRIBUTION Now comes your duly appointed herein and submits his Report in said matter. Distribution of the assets has been made in accordance with the previous order of this Court in the following manner: DATE OF SALE OR DISTRIBUTION TO WHOM SOLD OR DISTRIBUTED DESCRIPTION PROCEEDS OR VALUE _________________________________________ Commissioner JUDGMENT ENTRY The within report and distribution having been made according to law and the former order of the Court, it is ordered that the report and distribution are hereby approved. Date Journalized David E. Woessner, Probate Judge Prepared by: Attorney’s Name Address Phone # Registration # Form 5.9 - REPORT OF DISTRIBUTION - RELEASE FROM ADMINISTRATION Crensch$\forms\5.9 59 7/26/01 American LegalNet, Inc. www.USCourtForms.com