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