ONTARIO SUPERIOR COURT OF JUSTICE

APPLICATION FOR CERTIFICATE OF APPOINTMENT OF ESTATE TRUSTEE WITH A WILL (INDIVIDUAL APPLICANT) (Form 74.4 Under the Rules)

at Welland This application is filed by (insert name and address) Nancy Bellant n!" #$% &a'!n A(en)e Welland" Onta' !" L*B #B+ Tel, (-$%) +../*..#

Fa0, (-$%) +../*..%

DETAILS ABOUT THE DECEASED PERSON Complete in full as applica le First given name Second given name F'ed Third given name Surname R)11le

And if the deceased !as "no!n # an# other name(s)$ state elo! the full name(s) used includin% surname First given name Second given name Third given name Surname Date !2 1 't3 !2 t3e decea4ed 5e'4!n" 2 6n!7n, (da#$ month$ #ear) ## Jan)a'y" #-%$ Add'e44 !2 2 0ed 5lace !2 a1!de (street or postal address) (cit# or (count# or district) to!n) . Ea4t Ma n St'eet Re8 !nal M)n c 5al ty Welland" Onta' !" L*B *W* !2 N a8a'a If the deceased person had no fixed place of La4t !cc)5at !n !2 decea4ed 5e'4!n abode in Ontario, did he or she have property in Ontario? N9A No Yes C'ane O5e'at!' Place !2 deat3 (cit# or to!n& count# or district) ate of death ate of last !ill (da#$ month (mar"ed as '(hi it )A*) #ear) (da#$ month$ #ear) Welland" Onta' ! *# Oct :$#* * Oct :$#* "as the deceased person #$ years of age or older at the date of the !ill %or &# years of age or older if the !ill is dated earlier than September #, #'(#)? No ; Yes If not, explain !hy certificate is being sought* +ive details in an attached schedule* Date !2 c!d c l %mar,ed as -xhibit ./0) Date !2 c!d c l %mar,ed as -xhibit .10)

(da#$ month$ #ear) 2arital Status 3nmarried ; 2arried

(da#$ month$ #ear) "ido!ed ivorced

id the deceased person marry after the date of the !ill? ; No Yes If yes, explain !hy certificate is being sought* +ive details in an attached schedule* "as a marriage of the deceased person terminated by a 4udgment absolute of divorce, or declared a nullity, after the date of the ; No Yes !ill? If yes, give details in an attached schedule* Is any person !ho signed the !ill or a codicil as !itness or for the testator, or the spouse of such person, a beneficiary under the !ill? ; No Yes If yes, give details in an attached schedule* VALUE OF ASSETS OF ESTATE o not include in the total amount5 insurance payable to a named beneficiary or assigned for value, property held 4ointly and passing by survivorship, or real estate outside Ontario* Pe'4!nal P'!5e'ty Real e4tate" net !2 enc)<1'ance4 T!tal = #%:":%$>$$ = *:%"$$$>$$ = ?++":%$>$$ No ; Yes

Is there any person entitled to an interest in the estate !ho is not an applicant?

If a person named in the !ill or a codicil as estate trustee is not an applicant, explain* N9A If a person not named in the !ill or a codicil as estate trustee is an applicant, explain !hy that person is entitled to apply* N9A If the spouse of the deceased is an applicant, has the spouse elected to receive the entitlement under section 6 of the Famil# ; No Yes +a! Act? If yes, explain !hy the spouse is entitled to apply*

AFFIDAVIT(S) OF APPLICANT(S) (Attach a separate sheet for additional affida,its$ if necessar#) I" an a55l cant na<ed n t3 4 a55l cat !n" <a6e !at3 and 4ay9a22 '<, #* I am #$ years of age or older* &* The exhibit%s) referred to in this application are the last !ill and each codicil %!here applicable) of the deceased person and I do not ,no! of any later !ill or codicil* 7* I !ill faithfully administer the deceased person8s property according to la! and render a complete and true account of my administration !hen la!fully re9uired* Na<e %surname and forename(s)) W l<a R)11le :* If I am not named as estate trustee in the !ill or codicil, consents of persons !ho together have a ma4ority interest in the value of the assets of the estate at the date of death are attached* 6* The information contained in this application and in any attached schedules is true, to the best of my ,no!ledge and belief*

Occ)5at !n D!<e4t c En8 nee' (pro,ince) Onta' ! (postal code) L*B *W*

Add'e44 (street or postal address) (cit# or to!n) . Ea4t Ma n St'eet Welland S!orn;<ffirmed before me at the 1ity of "elland in the =egional 2unicipality of Niagara this #$th day of November, &>#7

Signature of applicant WILMA RUBBLE

< 1ommissioner for ta,ing <ffidavits (or as ma# e) =1?@- (:*: %<pril ##, &>#&)

IN TA- -ST<T- OF FRED RUBBLE, deceased*

%1ourt file no*) Ontario S)5e' !' C!)'t !2 J)4t ce ?=O1-- IN+ 1O22-N1- <T "-BB<N

APPLICATION FOR CERTIFICATE OF APPOINTMENT OF ESTATE TRUSTEE WITH A WILL

Nancy Bellant n! Ba'' 4te' and S!l c t!' #$% &a'!n A(en)e Welland" Onta' !" L*B #B+ LSUC Re8 4t'at !n N!>, #*###E Tel, (-$%) +../*..# Fa0, (-$%) +../*..% =1?@- :1 %Culy #, &>>()