Form 12.1 - Certificate Of Transfer
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2PROBATE COURT OF STARK COUNTY, OHIO
DIXIE PARK, JUDGE
ESTATE OF __________________________________________________________ ,DECEASED
CASE NO. ______________________
CERTIFICATE OF TRANSFER
NO. ________
[Check one of the following]
Decedent died intestate.
Decedent died testate.
Decedent died on ______________________________________________ owning the real property described in this
certificate. The persons to whom such real property passed by devise, descent or election are as follows:
_________________________________________________________________________________________________
Name
Residence
Transferee's share
Address
of decedent's interest
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
[Complete if applicable] The real property described in this certificate is subject to a charge of $___________________ in
favor of decedent's surviving spouse, ______________________________________________________ in respect of the
unpaid balance of the specific monetary share which is part of the surviving spouse's total intestate share.
12.1 - CERTIFICATE OF TRANSFER
Amended: March 1, 2014
Discard all previous versions of this form
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