Free Microsoft Word - 361PC.dot - South Carolina

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 documentation on the reverse side of this form sets forth a complete accounting for the period specified, which is summarized as follows:

Beginning Balance Plus: Receipts Subtotal Less: Disbursements Ending Balance

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 #361PC (7/87) 62-3-704, 62-3-1003

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RECEIPTS (assets received into estate)

DISBURSEMENTS (assets disbursed/paid out from estate)

TOTAL

FORM #361PC (7/87)

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