STATE OF SOUTH CAROLINA COUNTY OF: IN THE MATTER OF:
)
) IN THE PROBATE COURT ) ) CONSERVATOR ANNUAL ACCOUNTING ) ) CASE NUMBER:
The undersigned Conservator submits this accounting, which covers the period from through . The attached documentation sets forth a complete accounting for the period specified, which is summarized as follows: Income Beginning Balance Plus: Receipts Subtotal Less: Disbursements Ending Balance *If a consolidated accounting, use this column. The Conservator represents that this account contains a correct statement of all receipts and disbursements that have come to the Conservator's knowledge. The Conservator declares that this account has been examined and that its contents are true to the best knowledge and belief of the Conservator. Executed this SWORN to before me this , 20 day of day of Signature:
Name:
Address:
Telephone (O): (H): , 20 . Principal Total*
Notary Public for South Carolina My Commission Expires:
FORM #560PC (9/87) 62-5-419