Form 4.0 - Application For Authority To Administer Estate Page 2

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(Reverse of Form 4.0)
CASE NO. ____________________
Applicant is decedent’s surviving spouse and is entitled to the entire net proceeds of the estate, or applicant is the next of kin
entitled to the entire net proceeds of the estate and there is no will. Bond is dispensed with by law.
Applicant offers the attached bond in the amount of $ _____________________________.
Applicant accepts the duties of fiduciary in the estate imposed by law, and such additional duties as may be required by the
Court. Applicant acknowledges being subject to removal as fiduciary for failure to perform such duties as required, and also
acknowledges being subject to criminal penalties for improper conversion of any property held as fiduciary.
_______________________________________
__________________________________________
Attorney for Applicant
Applicant
_______________________________________
__________________________________________
Typed or Printed Name
Typed or Printed Name
_______________________________________
__________________________________________
Address
Address
_______________________________________
__________________________________________
_______________________________________
__________________________________________
Phone Number (include area code)
Phone Number (include area code)
_____________________
Attorney Registration No.
WAIVER OF RIGHT TO ADMINISTER
[R.C. 2113.06]
The undersigned, being persons entitled to administer decedent's estate, and whose priority of right to do so is equal or superior to
that of applicant, hereby waive appointment to administer the estate.
_______________________________________
__________________________________________
_______________________________________
__________________________________________
_______________________________________
__________________________________________
_______________________________________
__________________________________________
ENTRY SETTING HEARING AND ORDERING NOTICE
The Court sets ______________________________________, at _______ o'clock ______. M. as the date and time for hearing the
application for authority to administer decedent's estate. The Court orders notice to take or renounce administration to be given
those persons entitled to administer decedent's estate, whose priority of right to do so is equal or superior to that of applicant, and
who have not waived appointment to administer the estate.
_________________________________
_______________________________________
Date
Probate Judge
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