Application For Order To Disinter Remains {25}

PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE DISINTERMENT OF: _______________________________________, DECEASED CASE NO. _________________________ APPLICATION FOR ORDER TO DISINTER REMAINS [R.C. 517.24 and 517.25] The Applicant states that this Application is made to disinter the remains of the above named Decedent by Court Order. The Decedent's remains are currently located in _____________________ cemetery, ______________________ County. Applicant further states that the following information is true: 1. Applicant is an interested person of sound mind who is at least eighteen years old. 2. Applicant or not assume/have financial responsibility for the funeral and burial expenses of the decedent. 3. Applicant's relationship to Decedent is _____________________________. 4. The remains will be re-interred at ___________________________________________ _____________________________________________________________________. (Name and Address) did did 5. Attached is Form 1.0 listing all persons who would have been entitled to inherit from the Decedent under R. C. Chapter 2105, and if the Decedent had a Will, all legatees and devisees named in that Will. 6. Notice of this Application and Hearing on the Application shall be given by certified mail return receipt requested to Decedent's surviving spouse, to all persons entitled to inherit if Decedent died without a Will, to all legatees and devisees named in Decedent's Will, and to the cemetery in which the Decedent's remains are interred in accordance with R.C. Section 517.24 unless waived. 7. Attached to this application are any written waivers waiving the right to receive the notice stated above. 8. Applicant states that the disinterment is not against Decedent's religious beliefs. 9. Decedent's cause of death was _______________________________________________. FORM 25.0 ­ APPLICATION FOR ORDER TO DISINTER REMAINS Effective Date: March 1, 2014 American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. ______________________ 10. The Decedent did not die of a contagious or infectious disease, or if so, a permit has been issued by the appropriate Board of Health, attached. 11. Decedent not executed a written Declaration of Assignment of Right of Disposition pursuant to R.C.2108.70 et seq. had had _________________________________ Attorney for Applicant _________________________________ Typed or Printed Name _________________________________ Address _________________________________ _________________________________ Phone Number (include area code) Attorney Registration No. ____________ _________________________________ Applicant _________________________________ Typed or Printed Name _________________________________ Address _________________________________ _________________________________ Phone Number (include area code) Sworn to and subscribed in my presence this _______day of _______________________ 20 ___. _________________________________________ Notary Public Reset Form Print Form FORM 25.0 ­ APPLICATION FOR ORDER TO DISINTER REMAINS PAGE 2 Effective Date: March 1, 2014 American LegalNet, Inc. www.FormsWorkFlow.com