PROBATE COURT OF ____________________ COUNTY, OHIO
ESTATE OF __________________________________________________________, DECEASED
CASE NO. ________________________
RECEIPTS AND DISBURSEMENTS
[Attach to fiduciary's account]
Page __________ of __________ pages
Following is an itemized statement of receipts and disbursements by the fiduciary in the administration of his trust.
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Item
Voucher
Value or
Value or
No.
Amount
Amount
$
$
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13.1 - RECEIPTS AND DISBURSEMENTS