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Probate Court Form No. 56 (page 1 of 2) Summary of Account of Executor/Administrator STATE OF VERMONT PROBATE COURT DISTRICT OF _______________________ IN RE THE ESTATE OF DOCKET NO. __________________ _______________________________ LATE OF ______________________ SUMMARY OF ACCOUNT OF EXECUTOR/ADMINISTRATOR I, ______________________________________________________________________\ ___ of the above named estate account to the court as provided in this summary and the schedule attached hereto for the period _________________________ to ________________________. Schedule* Initial orCarrying Value PRINCIPAL Receipts A ______________ Net gain (or loss) on sales or other disposition B ______________ Less disbursements C ______________ Balance before distributions ______________ Distributions to beneficiaries D ______________ Principal balance on hand E ______________ For information only: F ______________ A. Investments made B. Changes in investment holdings INCOME Receipts G ______________ Less disbursements H ______________ Balance before disbursements ______________ Distributions to beneficiaries I ______________ Income balance on hand ______________ Combined balance on hand ______________ Proposed distribution to J ______________ beneficiaries, or income balance in hands of fiduciary. (For interim account only) Probate Court Form No. 56 (page 2 of 2) Summary of Account of Executor/Administrator IN RE THE ESTATE OF _______________________ LATE OF_______________ I, ____________________________, _______________________ of the above named estate declare under oath that I have fully and faithfully discharged the duties of my office to the present date; that the foregoing account is true and correct and discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to my knowledge, there are no claims now outstanding against the estate; and that all taxes presently due from the estate have been paid. Signed ___________________________ (Executor/Administrator) Subscribed and sworn to this ________ day of _______________, 20__ Before me, ___________________________________ Probate Judge/Notary Public/Register NOTE: Use of the attached Schedule is optional, as long as the information is provided in the manner specified on the Schedules. The detail for relatively simple or brief accounts may be put on one sheet. NOTICE: A certificate of service must be filed with the court by the person who submits this document. The certificate must list each person to whom copies of this document have been sent, together with the person’s address, the date of service and the manner of service (e.g., first-class mail). See Form 124. MOTION TO ALLOW ACCOUNT* I, _________________________, Executor/Administrator in the above entitled estate move the court to allow this account. Dated at _______________________ , this _______ day of __________, 20__. Signed ____________________________ Executor/Administrator ORDER Examined on oath and allowed: Dated ____________________ Signed____________________________ Probate Judge Note: V.R.P.P. 66 (d) requires that a motion to allow account by filed no less frequently than every third year in a decedent’s estate manner. Probate Court Form No. 56 (Schedule A) Receipts on Principle SCHEDULE A RECEIPTS ON PRINCIPAL Assets which are listed on the inventory should be given the same valuation here. Assets owned by the decedent coming into the hands of the Executor/Administrator subsequent to the filing of the inventory should also be listed here and valued as of the date of death. Assets acquired by the estate subsequent to the date of death should be valued as of the date acquired. Assets should be listed in the following categories: real estate, stocks and bonds; cash; and tangible personal property. Probate Court Form No. 56 (Schedule B) Gains and Losses and Other Dispositions SCHEDULE B GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS State the date and nature of each transaction, showing net proceeds and gain or losses. Show total gains and losses and net gain for account period. Probate Court Form No. 56 (Schedule C) Disbursements on Principal SCHEDULE C DISBURSEMENTS ON PRINCIPAL Each disbursement should be itemized showing date, amount, recipient and reason for disbursement. Disbursements must be grouped in the following categories. Debts of decedent; funeral expenses; administration expenses; federal and state taxes; and fees. The subtotal for each category should be stated. Any attorney fees must be justified as provided in Rule 66 (c) of the Vermont Rules of Probate Procedure. Fiduciary’s fees must be justified. Probate Court Form No. 56 (Schedule D) Distribution of Principal To Beneficiaries SCHEDULE D DISTRIBUTION OF PRINCIPAL TO BENEFICIARY State for each distribution: date, nature of distribution, value of distribution, and recipient of distribution and provision of will, if any, under which distribution is made. Show subtotal for each beneficiary. Probate Court Form No. 56 (Schedule E) Principle Balance on Hand SCHEDULE E PRINCIPAL BALANCE ON HAND Show each asset with current and acquisition value. Total the current and acquisition values of all assets on hand. Probate Court Form No. 56 (Schedule F) Information Schedule- Principle SCHEDULE F INFORMATION SCHEDULE-PRINCIPLE Show any investments made and any changes in investments holdings. Probate Court Form No. 56 (Schedule G) Receipts of Income SCHEDULE G RECEIPTS OF INCOME Receipts of income should be shown in two categories-dividends and interest-with a subtotal for each category. Each entry should slow the asset on which the income was earned, the time period for which the income was received and the amount received. There should be a subtotal for each asset. Probate Court Form No. 56 (Schedule H) Disbursements of Income) SCHEDULE H DISBURSEMENTS OF INCOME Show for each disbursement: date, nature of disbursement, recipient and amount, disbursements must be grouped in the following categories: debts of decedent; funeral expenses; administration expenses; federal and state taxes; and fees. The subtotal for each category should be stated. Any attorney fees must be justified as provided in Rule 66 (c) of the Vermont Rules of Probate Procedure. Fiduciary’s fees must also be justified. Probate Court Form No. 56 (Schedule I) Distribution of Income to Beneficiaries SCHEDULE I DISTRIBUTION OF INCOME TO BENEFICIARIES For each disbursement show date; amount, recipient and provision of will, if any, under which distribution is made. Probate Court Form No. 56 (Schedule J) Proposed Distributions to Beneficiaries SCHEDULE J PROPOSED DISTRIBUTIONS TO BENEFICIARIES For each beneficiary list the assets that are to be distributed to that beneficiary showing the asset , initial value, current value and provision of the will under which the distribution will be made. Show the total value of distribution for each beneficiary and total of all distributions.

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