Free Report in Lieu of Settlement - Missouri

IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI
In the estate of
_________________________________________ No. _______________________________

REPORT IN LIEU OF SETTLEMENT
Comes now _____________________________________________________________________, __________________________ of the above estate, and files this report in lieu of ________________________ settlement as an accounting for the period from ________________ to ________________ and states that no estate (date) (date) moneys, property or assets of any kind have been disbursed or distributed during this period; that other than interest in the amount of $______________________ no assets have come into the estate during this time; and that the total current balance now due the estate is $_________________________. THEREFORE, the ____________________________ prays that this report be accepted and approved in lieu of a settlement. The _____________________________ states that the foregoing is made under oath or affirmation and its representations are true and correct to the best of _________ knowledge and belief, subject to the penalties of making a false affidavit or declaration, on this ______ day of ______________, 20_____.

____________________________________________ Attorney's Signature ____________________________________________ Attorney's Name (Typed) ____________________________________________ Street Address ___________________________________________ City State Zip Code

_________________________________________ Pers. Rep. / Consvr. Signature _________________________________________ Pers. Rep. / Consvr. Name (Typed) _________________________________________ Street Address _________________________________________ City State Zip Code

__________________________________________ Pers. Rep. / Consvr. Signature __________________________________________ Pers. Rep. / Consvr. Name (Typed) __________________________________________ Street Address __________________________________________ City State Zip Code