For Official Use Amended IN THE MATTER OF THE ESTATE OF Interim WILLIAM ELLIOTT, Supplemental SAMPLE deceased Estate Account Informal Administration Formal Administration Case No. 11PR111 UNDER OATH I VERIFY: I am the personal representative special administrator of this estate and this estate account is true and correct. The following is my account of the administration of this estate from (Date of Death or Date of prior account) to . List interested persons on page 2. July 1, 2011 January 20, 2012 (Date) RECEIPTS TOTAL DISBURSEMENTS TOTAL Net Value of property, subject to administration $263,157.54 $8,280.47 Funeral Expenses Schedule (F) from Inventory (or assets on hand as of last account) Property to which the decedent was entitled 949.74 to on Date of Death not included in Inventory or of Decedent (G) 6,154.00 Prior Account Schedule (A) 312.00 3,277.42 Dividends (B) Claims (H) (including by judgment) 1,308.90 4,450.00 Interest (C) Taxes Paid (I) (12,502.84) 0 Capital Gains (Losses) (D) Interest Paid (J) 0 1,099.36 Administration Expenses (K) Other Receipts (E) 0 Other Payments (L) 240,372.61 Distributions Paid to Date (M) $258,429.60 DISBURSEMENTS $ 0 Assets on Hand (N) TOTAL $258.429.60 Totals in each column must be the same. Proposed distribution of Assets on Hand (Schedule O) $ 0.00 Total Fees Paid during Administration: Personal Representative $ 0.00 Guardian Ad Litem $140.00 Special Administrator $ 0.00 Attorney $ 0.00
For Official Use SAMPLE IN THE MATTER OF THE ESTATE OF WILLIAM ELLIOTT, deceased Amended Interim Supplemental Estate Account Informal Administration Formal Administration Case No. 11PR111 UNDER OATH I VERIFY: I am the personal representative special administrator of this estate and this estate account is true and correct. The following is my account of the administration of this estate from (Date of Death or Date of prior account) July 1, 2011 to (Date) January 20, 2012 . List interested persons on page 2. RECEIPTS TOTAL DISBURSEMENTS TOTAL Net Value of property, subject to administration from Inventory (or assets on hand as of last account) $263,157.54 Funeral Expenses Schedule (F) $8,280.47 Property to which the decedent was entitled to on Date of Death not included in Inventory or Prior Account Schedule (A) 6,154.00 of Decedent (G) 949.74 Dividends (B) 312.00 Claims (including by judgment) (H) 3,277.42 Interest (C) 1,308.90 Taxes Paid (I) 4,450.00 Capital Gains (Losses) (D) (12,502.84) Interest Paid (J) 0 Other Receipts (E) 0 Administration Expenses (K) 1,099.36 Other Payments (L) 0 Distributions Paid to Date (M) 240,372.61 DISBURSEMENTS $258,429.60 Assets on Hand (N) $ 0 TOTAL $258.429.60 Totals in each column must be the same. Proposed distribution of Assets on Hand (Schedule O) $ 0.00 Total Fees Paid during Administration: $ 0.00 $140.00 Personal Representative Guardian Ad Litem Special Administrator $ 0.00 Attorney $ 0.00