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PROBATE COURT OF________________ COUNTY, OHIO ________________, JUDGE DISINTERMENT OF__________________________________________, DECEASED CASE NO. _______________________ WAIVER OF NOTICE OF APPLICATION TO DISINTER REMAINS (R.C. 517.24 and 517.25) The undersigned, being persons entitled to notice of the disinterment of the Decedent, waive such notice and consent to the disinterment and reinterment of the Decedent as stated in said application, and hereby acknowledge receipt of a copy of said application: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ FORM 25.5 WAIVER OF NOTICE OF APPLICATION TO DISINTER REMAINS Effective Date: March 1, 2014 American LegalNet, Inc. www.FormsWorkFlow.com