Bank Certificate {15.81}

MARK J. BARTOLOTTA, JUDGE PROBATE COURT OF LAKE COUNTY, OHIO IN THE MATTER OF _____________________________________________________ Case No. _________________ Docket ___________________ Page ________________ BANK CERTIFICATE N.B. Must be executed when funds are on deposit. I HEREBY CERTIFY that the within named fiduciary, on the date named below, had on deposit in The_______________________________________of______________________, Ohio, The sum of $_________________on ____________________to the credit of the estate of Nature of deposit ________________________________ ____________________________ Bank Dated_________________________________ By_____________________Cashier __________________________________ Fiduciary BANK CERTIFICATE N.B. Must be executed when funds are on deposit. I HEREBY CERTIFY that the within named fiduciary, on the date named below, had on deposit in The_______________________________________of______________________, Ohio, The sum of $_________________on ____________________to the credit of the estate of Nature of deposit ________________________________ ____________________________ Bank Dated_________________________________ By_____________________Cashier __________________________________ Fiduciary **Attach to Guardian account form 15.8** 15.81 BANK CERTIFICATES American LegalNet, Inc. www.FormsWorkFlow.com