PROBATE COURT OF ____________________ COUNTY, OHIO
ESTATE OF __________________________________________________________, DECEASED CASE NO. ________________________
RECEIPTS AND DISBURSEMENTS
[Attach to fiduciary's account]
Page __________ of __________ pages
Following is an itemized statement of receipts and disbursements by the fiduciary in the administration of his trust.
_____________________________________________________________________________________________________ Item Voucher Value or Value or No. Amount Amount
$
$
_____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________
13.1 - RECEIPTS AND DISBURSEMENTS
(Reverse of Form 13.1)
Page _________ of __________ pages _____________________________________________________________________________________________________ Item Voucher Value or Value or No. Amount Amount
$
$
_____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________
_____________________________________________________ Fiduciary