Fill and Sign the Trustee Alternate Form

STATE OF VERMONT PROBATE COURT DISTRICT OF ____________ In Re the Estate of: ) DOCKET No. __________ ) __________________ ) , Deceased ) ) ) LATE OF ) ) __________________ . ) ) ) SUMMARY OF ACCOUNT OF TRUSTEE I, ___________________________________ , trustee of the above named trust estate account to the court as provided in this summary and the schedules attached hereto for the period ___________________ to _______________________________ . Total from Inventory or previous Accounting Other Receipts Net gain (or loss) on sales or other disposition Distributions to beneficiaries Balance: The foregoing is a just and true account, ___________________ (Trustee) Subscribed and sworn to this       day of __________ , 20       . Before me, _____________________________________________ Judge 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* - 1 - I, ___________________________________ , trustee of the above named trust, move the court to allow this account. Dated at __________ this ____ day of ______________ 20 ____ . Signed ____________________________________________ , Trustee ORDER Examined on oath and allowed, Dated ______________________________________ Signed _____________________________________________ , Judge Rev.3/1/89 - 2 -