PROBATE COURT OF WOOD COUNTY, OHIO
DAVID E. WOESSNER, JUDGE
ESTATE OF ______________________________________________________, DECEASED
CASE NO. ______________________
APPLICATION FOR APPOINTMENT OF A COMMISSIONER TO
REPORT ON THE CONTENTS OF A SAFE DEPOSIT BOX
Now comes _______________________________________________, an attorney at law licensed in the
State of Ohio and states decedent, who resided at _______________________________________,
died on _________ and requests the appointment of him/her self, as Commissioner to review and
report the contents of the decedent’s safe deposit box located at ______________________________,
a financial institution in the City/Township of ______________________________, State of Ohio.
Applicant requests that as Commissioner he/she be permitted to remove the decedent’s will(s) and
codicil(s) from the safe deposit box and deliver the will(s) and codicil(s) to the Court, along with a
written report of the contents of the safe deposit box.
_______________________________________
Attorney
_______________________________________
Typed or Printed Name
_______________________________________
Address
_______________________________________
_______________________________________
Phone Number (include area code)
Attorney Registration No. _________________
ENTRY
Upon review of the above Application and for good cause shown, the Court hereby appoints
Attorney________________________________________________, as Commissioner to open the
decedent’s safe deposit box in the presence of an employee of the above listed financial institution to
inventory the contents of the safe deposit box, and to report in writing to the Court the contents of the safe
deposit box as well as to deliver any will(s) and codicil(s) of the decedent to the Court, no later than 30
days from the date of this Entry. The report shall be signed and dated by the Commissioner/Attorney, as
well as by an employee of the institution where the safe deposit box is located.
With the exception of any will(s) and codicil(s), no other property shall be
released from the safe deposit box until presentation of Letters of Authority
or upon further order of this Court.
_______________________________________
Date
Judge David E. Woessner
APPLICATION FOR APPOINTMENT OF A COMMISSIONER TO REPORT ON THE CONTENTS OF A SAFE DEPOSIT BOX