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700-00055 - Report of Fiduciary for Small Estate (05/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE OF: Decedent REPORT OF FIDUCIARY FOR SMALL ESTATE I, ____________________________________, state under oath: ☐ I have paid the funeral expenses of the deceased. ☐ I have paid all known debts of the deceased and have attached a list of debts paid showing the person paid, the amount paid and the nature of the debts. ☐ I have paid the expenses of administration. ☐ I have paid over the balance of the estate in accordance with the terms of the Will or in accordance with law if there is no Will . ☐ I have attached such receipts as are required by the Court. I request that this report be accepted, that I be discharged as administr ator, and that the estate be closed. _______________________________ ______________________________________________________________ Date Signature of Fiduciary ______________________________________________ Fiduciary ’s Printed ______________________________________________ Fiduciary ’s Address ______________________________________________ ______________________________________________ Fiduciary ’s Phone Number Signed and sworn to before me: ORDER DISCHARGING FIDUCIARY AND CLOSING ESTATE Based on the sworn statement of the Fiduciary of the Estate, the report i s accepted, the Fiduciary is discharged, and the estate is closed. _______________________________ ______________________________________________________________ Date Signature of Judge ______________________________________________ Judge ’s Printed Name Date Signature of Register, Judge or Notary Republic Expiration Dat e

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