PROBATE COURT OF ____________ COUNTY, OHIO ESTATE OF ___________________________________________________________, DECEASED CASE NO. ______________________ APPLICATION FOR AUTHORITY TO ADMINISTER ESTATE [R.C. 2109.02 and 2109.07] [For Executors and all Administrators; attach supplemental application for ancillary administration, if applicable] Applicant states that decedent died on ____________________________________________________________________ Decedent's domicile was _______________________________________________________________________________ Street Address ___________________________________________________________________________________________________ City or Village, or Township if unincorporated area County ___________________________________________________________________________________________________ Post Office State Zip Code Applicant asks to be appointed __________________________________________________________________________ of decedent's estate. [Check whichever of the following are applicable] To applicant's knowledge, decedent did not leave a Will Decedent's Will has been admitted to probate in this Court A supplemental application for ancillary administration is attached. Attached is a list of the surviving spouse, children, next of kin, and legatees and devisees, known to applicant, which list includes those persons entitled to administer the estate. The estimated value of the estate is: Personal property………………………………………………………………………… $ ___________________________ Annual real property rentals………………………………………………………………. $ ___________________________ Subtotal, personalty and rentals……………………………………………………………$ ___________________________ Real Property……………………………………………………………………………… $ ___________________________ Total estimated estate……………………………………………………………………... $ Applicant owes the estate………………………………………………………………… $ ___________________________ The estate owes applicant…………………………………………………………………. $ ___________________________ [Check one of the following four paragraphs] Applicant says that decedent's Will requests that no bond be required, and therefore asks the Court to dispense with bond. Applicant is a trust company duly qualified in Ohio, and bond is dispensed with by law. American LegalNet, Inc. www.FormsWorkflow.com FORM 4.0 - APPLICATION FOR AUTHORITY TO ADMINISTER ESTATE 12/01/2002 (Reverse of Form 4.0) CASE NO. ____________________ Applicant is decedent’s surviving spouse and is entitled to the entire net proceeds of the estate, or applicant is the next of kin entitled to the entire net proceeds of the estate and there is no will. Bond is dispensed with by law. Applicant offers the attached bond in the amount of $ _____________________________. Applicant accepts the duties of fiduciary in the estate imposed by law, and such additional duties as may be required by the Court. Applicant acknowledges being subject to removal as fiduciary for failure to perform such duties as required, and also acknowledges being subject to criminal penalties for improper conversion of any property held as fiduciary. _______________________________________ __________________________________________ Attorney for Applicant Applicant _______________________________________ __________________________________________ Typed or Printed Name Typed or Printed Name _______________________________________ __________________________________________ Address Address _______________________________________ __________________________________________ _______________________________________ __________________________________________ Phone Number (include area code) Phone Number (include area code) Attorney Registration No. _____________________ WAIVER OF RIGHT TO ADMINISTER [R.C. 2113.06] The undersigned, being persons entitled to administer decedent's estate, and whose priority of right to do so is equal or superior to that of applicant, hereby waive appointment to administer the estate. _______________________________________ __________________________________________ _______________________________________ __________________________________________ _______________________________________ __________________________________________ _______________________________________ __________________________________________ ENTRY SETTING HEARING AND ORDERING NOTICE The Court sets ______________________________________, at _______ o'clock ______. M. as the date and time for hearing the application for authority to administer decedent's estate. The Court orders notice to take or renounce administration to be given those persons entitled to administer decedent's estate, whose priority of right to do so is equal or superior to that of applicant, and who have not waived appointment to administer the estate. _________________________________ _______________________________________ Date Probate Judge American LegalNet, Inc. www.FormsWorkflow.com