Form 5.10 "Application for Summary Release From Administration" - Ohio

Form 5.10 is a Ohio Courts of Common Pleas - Probate Division form also known as the "Application For Summary Release From Administration". The latest edition of the form was released in March 1, 2008 and is available for digital filing.

Download an up-to-date Form 5.10 in PDF-format down below or look it up on the Ohio Courts of Common Pleas - Probate Division Forms website.

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Download Form 5.10 "Application for Summary Release From Administration" - Ohio

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PROBATE 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 applicants 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
PROBATE 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 applicants 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
CASE NO.__________________
Accounts maintained by a Financial Institution (include financial institution name and the account’s
complete identifying number):
$___________
$___________
Stocks and Bonds (include for each stock or bond its serial number, the name of its issuer, the name and
address of its transfer agent, and the total number of shares of stocks or bonds):
$___________
$___________
Real estate described in accompanying Form 12.0 Application for Certificate of Transfer and Form 12.1
Certificate of Transfer and date of death value. [Attach verification of value.]
$____________
Other assets and date of death values
$____________
Total Assets
$____________
Applicant requests an order granting summary release.
____________________________________
___________________________________________
Attorney for Applicant
Applicant’s Signature
______________________________________
___________________________________________
Typed or Printed Name
Applicant’s Typed or Printed Name
______________________________________
___________________________________________
Street Address
Street Address
______________________________________
___________________________________________
City
State
Zip Code
City
State
Zip Code
______________________________________
___________________________________________
Phone Number (include area code)
Phone Number (include area code)
Attorney Registration No. ________________
Signed and acknowledged by the applicant in my presence this _________ day of _____________________,
_________.
________________________________
Notary Public/Deputy Clerk
Print Form
FORM 5.10 – APPLICATION FOR SUMMARY RELEASE FROM ADMINISTRATION
Eff. Date March 1, 2008
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