STATE OF SOUTH CAROLINA COUNTY OF: IN THE MATTER OF:
)
) IN THE PROBATE COURT
) ) ACCOUNTING ) ) CASE NUMBER:
FINAL INTERIM # The undersigned Personal Representative(s) submits this accounting, which covers the period from through . The attached document sets forth a complete accounting for the period specified, which is summarized as follows:
Income Beginning Balance Plus: Receipts Subtotal Less: Disbursements Ending Balance
Principal
Total *
* If a consolidated accounting, use this column. The Personal Representative declares that this account has been examined and that its contents represent a correct statement of all receipts and disbursements and are true to the best knowledge and belief of the Personal Representative(s). SWORN to before me this , 20 day of Signature: Name: Address: Telephone (O): (H): Signature: Name: Address: Telephone (O): (H):
Notary Public for South Carolina My Commission Expires:
Form #360PC (7/87) 62-3-704, 62-3-1003