Fill and Sign the Expenses Form

IN THE CHANCERY COURT OF ___________ COUNTY, _______ IN THE MATTER OF THE )CONSERVATORSHIP OF )_______________________))NO. ))) )) INVENTORY, PETITION TO APPROVE EXPENSES AND MONTHLY ALLOWANCES, AND FOR OTHER RELIEF Comes __________ Conservator of the Estate of __________ and files this his Inventory, Petition to Approve Disbursements and Monthly Expenses, and for Other Relief and will state in support thereof the following:1. That __________ was appointed as Conservator of the Estate of __________ by Order dated __________2.That since his appointment as Conservator, __________ has been busy managing the affairs of the Conservatorship of the Estate. 3.As of __________ the Estate of this Conservatorship consists of the following items: 4.That the monthly income of the Estate of __________is as follows:5.Your Conservator has spent from the Conservatorship funds for the welfare and benefit of __________ from __________ to __________ the following items: DATE PAYEE AMOUNT Your Conservator requests that the disbursements listed above be approved, ratified and confirmed for the as expenses incurred for the benefit of the Estate.6.Your Conservator further requests that he be authorized to disburse from the Conservatorship funds for the welfare and benefit of __________ the following: (a)Auto Insurance Premium - Annual $ (b) Monthly Allowance to __________(c) Conservator Bond Premium - Per Year (d) Medication and Drugs - Per Month (e) Church Donation - Per Month (f) McRae's Credit Card - Per Month (g) Dabbs and Dabbs - Per Year (h) Insurance Premiums, Visa Cards, Doctors Bills, Hospital Bills, and Personal Needs, the specific amounts of which are unknown but which authorization your Conservator requires to be paid as and when due. 7. Your Conservator further requests that he be awarded a reasonable fee for his services and that his attorney be awarded a reasonable attorney's fee for his services to date, during the Administration of this Conservatorship.WHEREFORE, PREMISES CONSIDERED, your Conservator requests that his Inventory and Petition received and filed and that after a hearing thereon the Court would enter an Order approving the Inventory, authorizing the expenditures previously made for the benefit of the Ward, authorizing expenditures in the future and that he be awarded a reasonable conservator's fee and reasonable attorney's fee for the services of his attorney during the Administration of this Conservatorship. Respectfully submitted, _________________________________ By __________Conservator of __________ PREPARED AND PRESENTED BY:STATE OF __________COUNTY OF ________PERSONALLY appeared before me, the undersigned authority in and for the county and state aforesaid, the within named __________ Conservator for __________, who acknowledged to me that all matters, facts and things set forth in the above and foregoing Inventory, Petition to Approve Expenses and Monthly Allowances, and for Other Relief are true and correct as therein stated. ____________________ GIVEN under my hand and official seal this the _____ day of __________, ______. __________NOTARY PUBLIC My Commission Expires:__________