Fill and Sign the Summary of Receipts and Expenditures Only Colorado Form

 District Court  Denver Probate Court ___________________ County, Colorado Court Address: In the Matter of the Estate of: Deceased COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom  INTERIM  FINAL ACCOUNTING FOR PERIOD: FROM _________________ TO ___________________ PURSUANT TO COLORADO RULES OF PROBATE PROCEDURE RULE 31 This Accounting shall be typed or prepared by automated data processing. SUMMARY OF RECEIPTS AND EXPENDITURES ONLY Balance on hand at the beginning of this accounting period $__________________ Add: Total funds received or collected during this accounting period from page 2 $__________________ Less: Total payments during this accounting period from page 3 $__________________ Balance on hand at the end of this accounting period $__________________ SUMMARY OF ASSETS REMAINING AT END OF ACCOUNTING PERIOD Asset Category Value Cash, Bank, Checking, Savings, Certificates of Deposit and Health Accounts Stocks, Bonds, Mutual Funds, Securities and Investment Accounts Life Insurance Pension, Profit Sharing, Annuities and Retirement Funds Motor Vehicles and Recreation Vehicles Real Estate General Household and Other Personal Property Miscellaneous Assets Total Assets JDF 942 R8 17 INTERIM/ FINAL ACCOUNTING © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 3 Detail Listing of Funds Received or Collected During Accounting Period List below each individual item of funds received or collected for this accounting period. Attach additional pages, if needed. Date Description of Funds Received or Collected Amount Page __ of __ Total $ $ JDF 942 R8 17 INTERIM/ FINAL ACCOUNTING © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 3 Detail Listing of Payments During Accounting Period List below each item of payments during this accounting period. Attach additional pages, if needed. Date Description of Payments Amount Page __ of __ Total $ $ I state under penalty of perjury that this is a true and complete Accounting of this estate, during the period shown, both dates inclusive, to the best of my knowledge, information and belief. I understand that this Accounting is subject to audit and verification and that I am required to maintain supporting documentation for the duration of my appointment as Personal Representative.  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) Date: _____________________________________________ Signature of Personal Representative Address JDF 942 R8 17 INTERIM/ FINAL ACCOUNTING © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 3 of 3 City, State and Zip Code JDF 942 R8 17 INTERIM/ FINAL ACCOUNTING © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 4 of 3