PROBATE COURT OF _______________ COUNTY, OHIO
ESTATE OF ________________________________________________________, DECEASED CASE NO. _________________________
CERTIFICATE OF TERMINATION
[R.C. 2109.30]
I certify I am the executor or administrator and the sole legatee, devisee or heir. I further certify: (1) all debts and claims presented to the estate have been paid in full or settled finally; an estate tax return, if required under Chapter 5731 of the Revised Code, has been filed, and any estate tax due under that chapter has been paid; all attorney fees have been [check one] waived by counsel of record, paid to counsel of record in the amount of $ ____________________; all fiduciary fees have been [check one] waived by the fiduciary; paid to the fiduciary in the amount of $ ___________________; all assets remaining after completion of the activities described above have been distributed to myself as the sole legatee, devisee or heir.
(2)
(3)
(4)
(5)
___________________________________ Attorney for Fiduciary
________________________________________ Fiduciary
Attorney Registration No. ______________
ENTRY
Based upon the above certification it is ordered that the fiduciary and surety, if any, are discharged.
____________________________________ Probate Judge
FORM 13.6 - CERTIFICATE OF TERMINATION
3/1/96