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BCPC FORM 480 APPLICATION FOR APPOINTMENT OF TESTAMENTARY TRUSTEE - PDF 01/08 PROBATE COURT OF BUTLER COUNTY, OHIO RANDY T. ROGERS, JUDGE IN THE MATTER OF WRONGFUL DEATH TRUST TESTAMENTARY TRUST SPECIAL NEEDS TRUST OF CASE NO. APPLICATION FOR APPOINTMENT OF TRUSTEE & a resident(s) of , hereby makes application to be appointed Trustee(s) of the: Wrongful Death Trust fbo as the result of the death of Estate Case No. Testamentary Trust created by Item o f the Last Will and Testament of , deceased. Estate Case No. Special Needs Trust created by on A copy of the Will or Trust Agreement is attached. Applicant states that the estimated property of said trust estate, is as follows: Personal Property $ Real Property $ Annual Rentals $ Other Annual Income $ Total $ and further states that Bond is dispensed with by the instrument; Bond is dispensed with by law (100% Custodial); Bond in the sum of $ is attached. Attorney for Applicant Applicant Typed Name of Attorney for Applicant Typed Name of First Applicant Address Address City, State, Zip Address Phone No. (Include area code) City, State, Zip

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BCPC FORM 480 APPLICATION FOR APPOINTMENT OF TESTAMENTARY TRUSTEE - PDF 01/08

PROBATE COURT OF BUTLER COUNTY, OHIORANDY T. ROGERS, JUDGE

IN THE MATTER OFWRONGFUL DEATH TRUSTTESTAMENTARY TRUSTSPECIAL NEEDS TRUST

OF

CASE NO.

APPLICATION FOR APPOINTMENT OF TRUSTEE

&a resident(s) of , hereby makes application to be appointed Trustee(s) of the:

Wrongful Death Trust fbo

as the result of the death of Estate Case No.

Testamentary Trust created by Item of the Last Will and Testament of

, deceased. Estate Case No.

Special Needs Trust created by on

A copy of the Will or Trust Agreement is attached.

Applicant states that the estimated property of said trust estate, is as follows:

Personal Property $

Real Property $

Annual Rentals $

Other Annual Income $

Total $

and further states that

Bond is dispensed with by the instrument;

Bond is dispensed with by law (100% Custodial);

Bond in the sum of $ is attached.

Attorney for Applicant Applicant

Typed Name of Attorney for Applicant Typed Name of First Applicant

Address Address

City, State, Zip Address

Phone No. (Include area code) City, State, Zip