Return For The Estate

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Return for the Estate of
, (Deceased) (Ward)
Estate No.
Reporting Period:
to
(Guardian’s) (Personal Representative’s) Name:
Beginning Balance:
If this is the first return, use for a beginning balance the figures you listed on the inventory as the amount of funds
in all bank accounts, certificates of deposit, stocks, bonds, or other securities. If this is not the first return, your beginning balance on this
return should be the ending balance on the previous return.
Date
Amount
Beginning Balance: see above instructions for method of calculation
$
Date
Receipts into the estate including interest earned; proceeds from sale of assets; social
Amount
security; pension, etc.; itemize by category - use the second page of this form if necessary:
Line A
subtotal from second page
Line A
subtotal from second page
Total receipts
$
TOTAL
BEGINNING BALANCE PLUS TOTAL RECEIPTS
$
Disbursements: itemize by category any distributions made to heirs, beneficiaries, or on
Date
behalf of wards. If this is a decedent’s estate, you must specify the payee and amount
paid to them. If this is a guardianship, you must categorize disbursements by type, e.g.
Amount
“utilities,” or “nursing home,” etc. Use the second page of this form if necessary
Line B
subtotal from second page
Line B
subtotal from second page
Total disbursements
$
TOTAL
balance on hand: beginning balance plus total receipts less total disbursements
$
Please attach original bank documents showing ending balance and title of account.
I have compared the original vouchers with the items listed on the return and certify that this return is correct.
It is ordered that this return be allowed
Personal Representative/Guardian
this
day of
, 20
.
Personal Representative/Guardian
Walter J. Clarke, II, Judge
Probate Court of Gwinnett County
Sworn to me this
day of
, 20
.
Notary Public or Clerk of Court
Rev. 10/8/02
S:\Probate\PRO 50-00015.wpd

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