The State Of New Hampshire Judicial Branch
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5Instructions
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
Court Name:
Case Name:
Estate of
Case Number:
(if known)
EXECUTOR’S/ADMINISTRATOR’S ACCOUNTING
Original
Amended
1. The
account for the period beginning
and ending
Check if final account
2. Executor/administrator name
Telephone
Mailing address
Co-executor/administrator name
Telephone
Mailing address
3. Attorney name
Telephone
Firm name
Bar ID #
Mailing Address
4. Account Summary (totals taken from the following page)
0.00
TOTAL RECEIPTS
$
0.00
TOTAL DISBURSEMENTS (expenses)
$
BALANCE HELD BY EXECUTOR / ADMINISTRATOR
$
0.00
5. Total Value of Estate from the Accounting Worksheet
$
0.00
ORDER
Account allowed.
Account allowed pending filing of
Account disallowed for the following reasons
If this is a final account, receipts for the balance must be filed within 30 days.
Date
Judge
Top of Page
NHJB-2117-P (03/25/2013)
Page 1 of 4
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