Guardians Account {15.8}

PROBATE COURT OF HAMILTON COUNTY, OHIO RALPH WINKLER, JUDGE GUARDIANSHIP OF CASE NO. GUARDIAN'S ACCOUNT (R.C.2109.30) Account From To Date (Balance from previous account) Voucher No. $ $ Page 1 of 2 H.C. FORM 15.8 - GUARDIAN'S ACCOUNT American LegalNet, Inc. www.FormsWorkFlow.com 03/01/96 CASE NO. RECAPITULATION Total Receipts...................................................................................................... Total Disbursements........................................................................................... Balance Remaining................................................................................................... $ $ $ ITEMIZED STATEMENT OF ALL FUNDS, ASSETS AND INVESTMENTS ITEM $ Attorney Attorney Registration No. Guardian Typed or Printed Name Address of Guardian 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 $ to the credit of the estate of Nature of Deposit BANK CERTIFICATE on Bank By Cashier H.C. FORM 15.8 - GUARDIAN'S ACCOUNT American LegalNet, Inc. www.FormsWorkFlow.com Dated Page 2 of 2