Form Aoc-E-204 - Affidavit Of Collection, Disbursement And Distribution 1998

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File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
County
Superior Court Division
Before The Clerk
IN THE MATTER OF THE ESTATE OF
Name Of Decedent
AFFIDAVIT OF COLLECTION,
DISBURSEMENT AND DISTRIBUTION
G.S. 28A-25-3(a)(2)
I, the undersigned collector by affidavit, being first duly sworn, say that the following is a complete and accurate
account of my receipts, disbursements, and distributions as collector by affidavit of the personal property of this estate.
Accounting Period From
Extending To
PERSONAL PROPERTY RECEIVED
DATE RECEIVED
RECEIVED FROM
DESCRIPTION
VALUE
$
TOTAL RECEIPTS
$
0.00
DISBURSEMENTS IN PAYMENT OF DEBTS AND EXPENSES
DATE PAID
TO
FOR
AMOUNT
$
TOTAL DISBURSEMENTS
$
0.00
BALANCE
$
AOC-E-204, Rev. 5/98
1998 Administrative Office of the Courts
(Over)

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