PROBATE COURT OF ____________ COUNTY, OHIO
ESTATE OF _____________________________________________________, DECEASED
CASE NO. ______________________
APPLICATION FOR AUTHORITY TO ADMINISTER ESTATE
[R.C. 2109.02 and 2109.07]
[For Executors and all Administrators; attach supplemental
application for ancillary administration, if applicable]
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
Applicant asks to be appointed _________________________________________________________________
of decedent's estate. [Check whichever of the following are applicable] - To applicant's knowledge, decedent
did not leave a Will -
Decedent's Will has been admitted to probate in this Court - A supplemental application
for ancillary administration is attached.
Attached is a list of the surviving spouse, children, next of kin, and legatees and devisees, known to applicant, which
list includes those persons entitled to administer the estate.
The estimated value of the estate is:
Personal property………………………………………………………………………… $ ________________________
Annual real property rentals…………………………………………………………… $ ________________________
Subtotal, personalty and rentals……………………………………………………… $ ________________________
Real Property…………………..………………………………………………………… $ ________________________
Total estimated estate…………………………………………………………………… $ ________________________
Applicant owes the estate……………………………………………………………… $ ________________________
The estate owes applicant……………………………………………………………… $ ________________________
[Check one of the following four paragraphs]
Applicant says that decedent's Will requests that no bond be required, and therefore asks the Court to
dispense with bond.
Applicant is a trust company duly qualified in Ohio, and bond is dispensed with by law.
FORM 4.0 - APPLICATION FOR AUTHORITY TO ADMINISTER ESTATE 12/01/2002
(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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