District Court Denver Probate Court __________________________________ County, Colorado Court Address:
_________________________________________________
In the Matter of the Estate of: _____________________________________________ Deceased Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number:________________
Phone Number:________________ E-mail: ____________________ FAX Number:_________________ Atty. Reg.#: ________________
Division______ Courtroom _______
INTERIM FINAL ACCOUNTING FOR PERIOD: FROM _________________ TO ___________________ PURSUANT TO COLORADO RULES OF PROBATE PROCEDURE RULE 31 This Accounting shall be typed or prepared by automated data processing.
SUMMARY OF RECEIPTS AND EXPENDITURES ONLY
Balance on hand at the beginning of this accounting period Add: Total funds received or collected during this accounting period from page 2 Less: Total payments during this accounting period from page 3 Balance on hand at the end of this accounting period $__________________ $__________________ $__________________ $__________________
SUMMARY OF ASSETS REMAINING AT END OF ACCOUNTING PERIOD
Asset Category
Cash, Bank, Checking, Savings, Certificates of Deposit and Health Accounts Stocks, Bonds, Mutual Funds, Securities and Investment Accounts Life Insurance Pension, Profit Sharing, Annuities and Retirement Funds Motor Vehicles and Recreation Vehicles Real Estate General Household and Other Personal Property Miscellaneous Assets
Value
Total Assets
JDF 942 1/09
INTERIM/ FINAL ACCOUNTING
Page 1 of 3
Detail Listing of Funds Received or Collected During Accounting Period
List below each individual item of funds received or collected for this accounting period. Attach additional pages, if needed.
Date
Description of Funds Received or Collected
Amount
Page __ of __ Total
$ $
JDF 942 1/09
INTERIM/ FINAL ACCOUNTING
Page 2 of 3
Detail Listing of Payments During Accounting Period
List below each item of payments during this accounting period. Attach additional pages, if needed.
Date
Description of Payments
Amount
Page __ of __ Total
$ $
I state under penalty of perjury that this is a true and complete Accounting of this estate, during the period shown, both dates inclusive, to the best of my knowledge, information and belief. I understand that this Accounting is subject to audit and verification and that I am required to maintain supporting documentation for the duration of my appointment as Personal Representative.
Date:
_____________________________________________ Signature of Personal Representative
Address
City, State and Zip Code
JDF 942 1/09
INTERIM/ FINAL ACCOUNTING
Page 3 of 3