Form 5.10 - Application For Summary Release From Administration
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2PROBATE COURT OF ________________ COUNTY, OHIO
__________________, JUDGE
ESTATE OF ____________________________________________, DECEASED
CASE NO. _______________________
APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION
[R.C. 2113.031]
Applicant states that decedent died on ______________________________________________.
Decedent's domicile was _________________________________________________________.
Street Address
______________________________________________________________________________
City or Village, or Township if unincorporated area
County
______________________________________________________________________________.
Post Office
State
Zip Code
[Check one of the following]
The applicant is decedent’s surviving spouse entitled to one hundred percent of the
allowance for support and decedent’s funeral and burial expenses have been prepaid or
the surviving spouse has paid or is obligated in writing to pay decedent’s funeral and
burial expenses and the value of the assets does not exceed the $40,000 allowance for
support under R.C. 2106.13(B) plus an amount not exceeding $5,000 for decedent’s
funeral and burial expenses.
The applicant, who is not the surviving spouse, has paid or is obligated in writing to pay
decedent’s funeral and burial expenses and the value of the assets is the lesser of $5,000
or the amount of decedent’s funeral and burial expenses.
Attached hereto is a receipt, contract or other document that confirms the applicant’s payment or
obligation to pay decedent’s funeral and burial expenses or if the applicant is the surviving
spouse, the prepayment receipt, if applicable.
The decedent’s surviving spouse, next of kin, legatees and devisees known to applicant, are listed
on attached Form 1.0.
Applicant states that there are no pending proceedings for the administration of decedent’s estate
or relief of decedent’s estate from administration under R.C. 2113.03.
All known assets with date of death values of the estate are as follows:
Motor Vehicles (include year, make, model, body type, manufacturer’s vehicle
identification number and Certificate of Title number)
$_________________
______________________________________________________$_________________
FORM 5.10 - APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION
Eff. Date March 1, 2008
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