Report Of Estate Not Fully Distributed

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(Rev. 6/98)
REPORT OF ESTATE NOT FULLY DISTRIBUTED (22 NYCRR 207.42)
SURROGATE’S COURT
___________________ COUNTY
Estate of _____________________________________________________________________,Deceased
File No. _______________________
Date of issuance of first permanent letters __________________________________________________
Approximate amount of gross estate $______________________________________________________
Approximate amount that has been distributed to beneficiaries
$___________________________________________________________________________________
Approximate amount remaining in fiduciary’s hands at present
$ ___________________________________________________________________________________
This estate has not yet been fully distributed for the following reason: [state briefly and state date by
which distribution may be expected]
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Date of this report _____________________________
____________________________
Fiduciary
Address: _______________________________
_______________________________
Phone:
_______________________________
_______________________________
Attorney for above Fiduciary
Address: _______________________________
_______________________________
Phone:
_______________________________

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