Free Conservator's Accounting Form in PDF - Kansas


File Size: 17.8 kB
Pages: 2
File Format: PDF
State: Kansas
Category: Court Forms - State
Author: user
Word Count: 200 Words, 1,836 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.kansasjudicialcouncil.org/Documents/Supreme%20Court%20Rules/PDF/Rule109AcctForm.pdf

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9/06 IN THE DISTRICT COURT OF
In the Matter of the ) (Guardianship)(Conservatorship) of ) ) ) )

JUDICIAL DISTRICT COUNTY, KANSAS

Case No. _________

Proceeding Pursuant to K.S.A. Chapter 59

ANNUAL
In the Conservatorship of , Comes now,

FINAL
,

ACCOUNTING
2 to 2 ,

Name City & Zip Code

Address Telephone Number

(guardian) (conservator) in the above entitled estate and submits the following (annual) (final) accounting in the conservatorship of
Name Address, City & Zip Code

Year of Birth

for the period from

,2

to

,2

.

I. Statement of Receipts and Disbursements RECEIPTS
DATE RECEIVED FROM
Balance Carried Forward

EXPLANATION $

AMOUNT

TOTAL RECEIPTS (Including balance carried forward)

$

DISBURSEMENTS
DATE PAID TO PURPOSE $ AMOUNT

TOTAL DISBURSEMENTS

$

SUMMARY Total Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total Disbursements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cash Balance on Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ II. INVENTORY Your conservator accounts for the fair market value of the following assets: REAL ESTATE 1. 2. 3 4. $ $ $ $ $
Fair Market Value

TOTAL REAL ESTATE PERSONAL PROPERTY

1.

Financial Institution Accounts Description (a) Checking (b) Savings (c) Certificates of Deposit (d) Other $ $ $ $ Amount

2.

Stocks & Bonds Description Other Personal Property Description

$

Amount

3.

$ Total Personal Property . . . . . . . . . . . . $ Total Real Estate and Personal Property . . . . . . . . . . . . $

Amount

I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.

Conservator