AOC 856
Doc. Code: SET
Rev. 10-12
Case No. ____________________________
Page 2 of 2
IN PERIODIC SETTLEMENTS:
PLAN FOR PRESERVING AND MAINTAINING ESTATE (not to be filled out if estate has net value of $5,000 or less)
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IN FINAL SETTLEMENTS:
UNPAID CREDITORS - ALLOWED CLAIMS
AMOUNT
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TOTAL
$
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AMOUNT
CREDITORS - DISALLOWED CLAIMS
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TOTAL
$
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Above-named Guardian/Conservator submits this Settlement to the Court, and if a Final Settlement, asks that
the Surety be discharged.
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Date
Guardian/Conservator Signature
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Guardian's Phone Number
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Print
Reset Form
Address
Subscribed and sworn before me on ________________________, 2_____. My commission expires: ______________________,
2_____.
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Name/Title