PROBATE COURT OF ____________________ COUNTY, OHIO ESTATE OF _________________________________________________________, DECEASED CASE NO. ______________________ SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATION Applicant says that the decedent named in the attached application for authority to administer the estate died [check owning property in this county having a debtor residing in this county. one of the following] Applicant is a resident of Ohio. [Check one of the following three paragraphs] Applicant is the general executor named in decedent's Will, and is duly appointed, qualified and acting in that capacity in the state of ______________________________. An exemplified record of the grant of his letters of authority is attached. Applicant is named in decedent's Will as executor of his Ohio estate. Applicant is a resident of this county. Decedent either died intestate, or did not designate an Ohio executor or administrator in his Will. [Check if applicable] offered for record. An authenticated copy of decedent's Will, duly proved in another state, is attached and The estimated value of decedent's Ohio estate is $ __________________________. __________________________________________ Applicant Print Form FORM 4.1 - SUPPLEMENTAL APPLICATION FOR ANCILLARY ADMINISTRATION American LegalNet, Inc. www.FormsWorkFlow.com