Form 12.0 - Application For Certificate Of Transfer
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2PROBATE COURT OF ________________ COUNTY, OHIO
_____________________. JUDGE
ESTATE OF __________________________________________________________ DECEASED
CASE NO. ______________________
APPLICATION FOR CERTIFICATE OF TRANSFER
[R.C. 2113.61]
Applicant states that decedent died on _________________________________________________________________.
Decedent's domicile at death was______________________________________________________________________
Address
Street
________________________________________________________________________________________________.
City or Village, or Township if unincorporated area
County
________________________________________________________________________________________________.
Post Office
State
Zip Code
Decedent died owning the real property described in the accompanying Certificate of Transfer No. ________, which also
lists those persons to whom the real property passed. Applicant asks the Court to issue a Certificate of Transfer so that
new ownership interests may be recorded.
[Check the applicable boxes]
Decedent died intestate.
Decedent died testate on _______________________; will admitted to probate on _______________________.
Decedent's known debts have been paid or secured to be paid.
Sufficient other assets are in hand to pay decedent's known debts.
Estate is insolvent and the transfer shall apply toward the allowance for support.
Applicant was appointed by this Court on _____________________________ and is the qualified and acting executor
or administrator of decedent's estate.
Executor or administrator of decedent's estate failed to file this application before being discharged.
Applicant is the executor or administrator appointed in another state. There is and has been no ancillary administration
in Ohio. The real property to be transferred is located in this county.
The transfer is subject to a written contract for the sale and conveyance of the real property, entered into but
uncompleted by decedent before death. A copy of the contract is attached.
There has been no administration and none is contemplated [R.C. 2113.61(D)].
The transfer is pursuant to decedent's Will.
The transfer is pursuant to the statutes of descent and distribution.
The transfer is pursuant to summary release from administration [R.C.
2113.031(D)(3)].
The real property to be transferred is subject to a charge in favor of the surviving spouse in the amount of
$____________ as computed pursuant to R.C. 2106.11 on attached Exhibit A, and as shown on the accompanying
Certificate of Transfer, in respect of the unpaid balance of the specific monetary share which is part of the surviving
spouse's total intestate share.
FORM 12.0 – APPLICATION FOR CERTIFICATE OF TRANSFER
Amended: March 1, 2014
Discard all previous versions of this form
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