Application For Summary Release From Administration {5.10}

PROBATE COURT OF CUYAHOGA COUNTY, OHIO JOHN J. DONNELLY, Presiding Judge JOHN E. CORRIGAN, Judge ESTATE OF ,DECEASED CASE NO. APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION [R.C. 2113.031] Applicant states that decedent died on Decedents domicile was Street Address City or Village, or Township if unincorporated area County Post Office State Zip Code [Check one of the following] o The applicant is decedents surviving spouse entitled to one hundred percent of the allowance for support and decedents funeral and burial expenses have been prepaid or the surviving spouse has paid or is obligated in writing to pay decedents funeral and burial exp enses and the value of the assets does not exceed the $40,000 allowance for support under R.C. 2106 .13(8) plus an amount not exceeding $2,000 for decedents funeral and burial expenses. o The applicant, who is not the surviving spouse, has paid or is obligated in writing to pay decedents funeral and burial expenses and the value of the assets is the lesser of $2,000 or the amount of decedents funeral and burial expenses. Attached hereto is a receipt, contract or other document that confirms t he applicants payment or obligation to pay decedents funeral and burial expenses or if the applicant is the s urviving spouse, the prepayment receipt, if applicable. The decedents surviving spouse, next of kin, legatees and devisees know n to applicant, are listed on attached Form 1.0. Applicant states that there are no pending proceedings for the administration of decedents estate or relief of decedents estate from administration under R.C. 2113.03. All known assets with date of death values of the estate are as follows: o Motor Vehicles (include year, make, model, body type, manufacturers vehicle identificat ion number and Certificate of Title number) $ FORM 5.10. APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION 9/00 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2o Accounts maintained by a Financial Institution (include financial institution name and the accounts complete identifying number): $ o Stocks and Bonds (include for each stock or bond its serial number, the name of its issuer, the name and address of its transfer agent, and the total number of shares of stocks or bonds): $ o Real estate described in accompanying Form 12.0 Application for Certific ate of Transfer and Form 12.1 Certificate of Transfer and date of death value. [Attach verification of value.] $ o Other assets and date of death values $ Total Assets $ Applicant requests an order granting summary release. Attorney for Applicant Applicants Signature Typed or Printed Name Applicants Typed or Printed Name Street Address Street Address City State Zip Code City State Zip Code Phone Number (include area code) Phone Number (include area code) Attorney Registration No. Signed and acknowledged by the applicant in my presence this day of , 20 . Notary Public/Deputy Clerk American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3 PROBATE COURT OF CUYAHOGA COUNTY, OHIO JOHN J. DONNELLY, Presiding Judge JOHN E. CORRIGAN, Judge ESTATE OF , DECEASED CASE NO. SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES (R.C. 2105.06,2106.13,2107.19) [Use with those applications or filings requiring some or all of the information in this form, for notice or other purposes. Update as required.] The following are decedents known surviving spouse and other known surv ivors who are or would be entitled to inherit under the statutes of descent and distribution. Name Residence Relationship Birthdate Address to Decedent of Minor Surviving Spouse [Check whichever of the following is applicable] o The surviving spouse is the natural or adoptive parent of at least one of the decedents children. o The surviving spouse is not the natural or adoptive parent of any of decedents children. o There are minor children of the decedent who are not the children of the surviving spouse. o There are minor children of the decedent and no surviving spouse. FORM 1.0 -SURVIVING SPOUSE, NEXT OF KIN, LEGATEES AND DEVISEES 01/00 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 4The following are the vested beneficiaries named in the decedents Wi ll: Name Residence Birthdate Address of Minor [Check whichever of the following is applicable] o The Will contains a charitable trust or a bequest or devise to a charitable trust, subject to R.C. 109.23 to 109.41 o The Will is not subject to R.C. 109.23 to 109.41 relating to charitable trusts. Date Applicant (or give other title) American LegalNet, Inc. www.USCourtForms.com <<<<<<<<<********>>>>>>>>>>>>> 5 PROBATE COURT OF CUYAHOGA COUNTY, OHIO JOHN J. DONNELLY, Presiding Judge JOHN E. CORRIGAN, Judge ESTATE OF , DECEASED CASE NO. ENTRY GRANTING SUMMARY RELEASE FROM ADMINISTRATION [R.C.2113.031] The Court finds that the application by , satisfies all requirements of R.C. 2113.031 and therefore summarily releases the estate from administration and directs: o The delivery to the applicant of decedents personal property set forth in the application with the title to that property. o That Certificate(s) of Transfer, attached to the application, be issued. A certified copy of this order together with a certified copy of the app lication for this order constitutes sufficient authority for a financial institution, corporation or other e ntity or person referred to in division (A) to (F) of Section 5731.39 of the Revised Code or for a clerk of a Court of Comm on Pleas to transfer title to the applicant of an asset of the decedents estate listed in the application . This order eliminates the need for a financial institution, corporation, or other entity or person to be provided a written consent of the tax commissioner prior to the delivery, transfe r, or payment to the applicant of an asset of the decedents estate listed in the application. This order eliminates the duty of all persons to file an Ohio Estate Tax Return exclusively for the assets listed in the application. Date PROBATE JUDGE FORM 5.11 - ENTRY GRANTING SUMMARY RELEASE FROM ADMINISTRATION 9/00 American LegalNet, Inc. www.USCourtForms.com