Affidavit Concerning Investments {17-AFF}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF THE GUARDIANSHIP OF CASE NO. AFFIDAVIT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Now comes , Guardian, being first duly sworn according to law, deposes and states that the investments of this are in compliance with Ohio Revised Code sections 2109.37 2109.372. As Guardian, I certify that unless otherwise provided by law or in the instrument creating the trust, at least 40% of the funds of this are invested in those instruments under the Ohio Revised Code sections 2109.37 (a)(1) (17). FURTHER AFFIANT SAYETH NAUGHTTHE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Sworn to before me and subscribed in my presence this day of , 20., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Notary Public, State of Ohio(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. Address«bggdpojowZ-Telephone No.: Facsimile No.: E-Mail Address:AFFIDAVIT CONCERNING INVESTMENTS (GUARDIANSHIP)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>