Ohio Probate Form - Verification Of Reinterment

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PROBATE COURT OF________________ COUNTY, OHIO
________________, JUDGE
DISINTERMENT OF__________________________________________, DECEASED
CASE NO. _______________________
VERIFICATION OF REINTERMENT
The undersigned ______________________________________________________________
(Name and Title)
of the _______________________________________ cemetery, states that the remains of the
above-named Decedent were reinterred on the ________ day of _______________, 20_____,
pursuant to the Order of this Court.
________________________________________
Signature
________________________________________
Typed or Printed Name
________________________________________
Cemetery
________________________________________
________________________________________
Address
________________________________________
Telephone (include area code)
Print Form
FORM 25.4 – VERIFICATION OF REINTERMENT
Effective Date: March 1, 2014

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