Statement In Lieu Of {13.0E}

PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge IN RE: ___________________________________________________________________________________________ Case No. _________________________________ Date:_____________________ STATEMENT IN LIEU OF AND FOR A _____________________ ACCOUNT The undersigned ___________________________________________, as ______________________________ (Name of fiduciary) (Type of case) (Names of decedent, ward, etc.) (Title) of the __________________________ of _____________________________________________ being first duly sworn, deposes and says that: Wherefore, it is requested that this statement be accepted by the Court in lieu of and for a ______________________________________________ account and that [] [] The case be closed and bondsman, if any, discharged. The case be continued for the filing of an account on or before _____________________. Prepared By Attorney's Name Fiduciary Address Phone # Supreme Court # FORM - 13-D (Final) - 13-P (Partial) STATEMENT IN LIEU OF AND FOR A _________________ACCOUNT ENTRY SETTING HEARING AND ORDERING NOTICE The Court sets ________________________________ at ______ o'clock ___.M. as the date and time for hearing the above account and orders notice of the hearing to be given as provided by law and the Rules of Civil Procedure. Date Journalized:__________________ ______________________________________ David E. Woessner, Probate Judge FORM - 13-OE 13oe American LegalNet, Inc. www.USCourtForms.com 3/21/01 Crensch$\forms\13D,13P.doc