Free 10-GC-400(A)(6).v4.101207.ofm - California

GC-400(A)(C)

Schedules A and C, Receipts and Disbursements Worksheet--Standard Account

Optional Worksheet. Do Not File With Accounting

Form

Receipt Categories

Amount

Form

Disbursement Categories

Amount

GC-400(A)(1) GC-400(A)(2) GC-400(A)(3)

Dividends Interest Pensions, annuities, and other regular periodic payments

$ $

GC-400(C)(1) GC-400(C)(2)

Conservatee's caregiver expenses Conservatee's residential or long-term care facility expenses

$

$ $ $ $ $ $

GC-400(C)(3) $ GC-400(C)(4)

Ward's education expenses Fees of fiduciary and attorney General administration expenses Investment Expenses Living expenses Medical expenses of conservatee or ward

GC-400(A)(4) GC-400(A)(5)

Rent Social Security, veterans' benefits, and other public benefit payments

$ GC-400(C)(5) GC-400(C)(6) $ GC-400(C)(7) $ GC-400(C)(8) $ $ $ $

GC-400(A)(6)

Other Receipts

GC-400(C)(9) GC-400(C)(10) GC-400(C)(11)

Property sale expenses Rental property expenses Other expenses

Total, Schedule A:

$

Total, Schedule C:

$

(Total Schedules A and C above. Carry the total sum of Schedule A over to line 3 of the Summary of Account (form GC-400(SUM)/GC-405(SUM)). Carry the total sum of Schedule C over to line 8 of the Summary of Account.)
Page 1 of 1 Form Approved for Optional Use Judicial Council of California GC-400(A)(C) [New January 1, 2008]

SCHEDULES A AND C, RECEIPTS AND DISBURSEMENTS WORKSHEET--STANDARD ACCOUNT
(Probate--Guardianships and Conservatorships)

Probate Code, §§ 1060­1064, 2620; Cal. Rules of Court, rule 7.575 www.courtinfo.ca.gov

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