Periodic/final Settlement Of Guardian/conservator - Kentucky Court Page 2

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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)
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
IN FINAL SETTLEMENTS:
UNPAID CREDITORS - ALLOWED CLAIMS
AMOUNT
___________________________________________________________________________ $
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
TOTAL
$
____________
AMOUNT
CREDITORS - DISALLOWED CLAIMS
___________________________________________________________________________ $
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
___________________________________________________________________________
____________
TOTAL
$
____________
Above-named Guardian/Conservator submits this Settlement to the Court, and if a Final Settlement, asks that
the Surety be discharged.
___________________________________
______________________________________________
Date
Guardian/Conservator Signature
___________________________________
______________________________________________
Guardian's Phone Number
______________________________________________
Print
Reset Form
Address
Subscribed and sworn before me on ________________________, 2_____. My commission expires: ______________________,
2_____.
___________________________________________________
Name/Title

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