Fill and Sign the P 355 Sworn Statement of Personal Representative to Close Form

IN THE ________________________ COURT OF ________________________ COUNTY, MAINE IN THE MATTER OF THE ESTATE OF : ________________________ CASE NO. SWORN CLOSING STATEMENT OF PERSONAL REPRESENTATIVE CO MES NOW, ________________________ , as the personal representative of the decedent, ________________________, and files this Sworn Statement for the purpose of closing this estate, and would attest to the following: 1. To the best of my knowledge, the value of the entire estate, less liens and encumbrances, did not exceed homestead allowance, exempt property, family allowance, costs and expenses of administration, reasonable funeral expenses, and reasonable, necessary medical and hospital expenses of the last illness of the decedent; 2. I have fully administered this estate by disbursing and distributing it to the persons entitled thereto. 3. I have sent a copy of this Closing Statement to all the distributees of this estate and to a ll creditors or other claimants of whom I am aware whose claims are neither paid nor barred and have furnished a full account in writing of the administration to the distributees whose intere sts are affected. I have read the foregoing Statement and know of my own knowledge that the facts stated there in are true and correct. This the _____ day of ________________________, 20_____. ___________________________________ Signature Acknowledgment of Individual STATE OF MAINE COUNTY OF ___________________ The foregoing instrument was acknowledged before me this __________________________ (date) by ___________________________________ (name of person acknowledged). _________________________________ Notary Public Print Name: ______________________ My Commission Expires: _____________________