Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Independent Deceased
Statement Of Account (Personal Representative - Unsupervised Administration) 606-D-I - Missouri
| Statement Of Account (Personal Representative - Unsupervised Administration) Form. This is a Missouri form and can be used in Independent Deceased Probate 7th Circuit (Clay County) Local Circuit Courts . |
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**Must be submitted on green paper CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , Deceased Personal Representative________________________________________ STATEMENT OF ACCOUNT Personal Representative Unsupervised Administration The following statement of account is a just and true accounting from _____________20___ to and including ___________, 20______. SETTLEMENT ASSETS PER INVENTORY 1. Furniture, household goods, wearing apparel________________ ___________ ___ 2. Corporation stocks_____________________________________ ___________ ___ 3. Mortgages, bonds, notes________________________________ ___________ ___ 4. Cash, Bank and Savings & Loan Accounts__________________ ___________ ___ Insurance Policies____________________________________ ___________ ___ 5. All other personal property_____________________________ ___________ ___ TOTAL Year Voucher Mo. Day DETAILS OF TRANSACTION No. Received/Credit Paid Out/Debit Dollars Cts Dollars Cts. Form 606 D I Page 1 of 4 Revised 3/17/2003 <<<<<<<<<********>>>>>>>>>>>>> 2 Year Voucher Mo. Day DETAILS OF TRANSACTION No. Received/Credit Paid Out/Debit Dollars Cts Dollars Cts. Form 606 D I Page 2 of 4 Revised 3/17/2003 <<<<<<<<<********>>>>>>>>>>>>> 3 Year Voucher Mo. Day DETAILS OF TRANSACTION No. Received/Credit Paid Out/Debit Dollars Cts Dollars Cts. Totals Balance THE ABOVE BALANCE CONSISTS OF THE FOLLOWING: 1. Furniture, household goods, wearing apparel________________ ___________ ___ 2. Corporation stocks_____________________________________ ___________ ___ 3. Mortgages, bonds, notes________________________________ ___________ ___ 4. Cash, Bank and Savings & Loan Accounts__________________ ___________ ___ Insurance Policies____________________________________ ___________ ___ 5. All other personal property_____________________________ ___________ ___ TOTAL The undersigned Personal Representative ________ state ________: That the foregoing settlement contains a just and true accounting, omitting vouchers, of all receipts and disbursements of the probate assets coming into the possession of the Personal Representative; That all claims, expenses of administration and taxes have been paid, in full, except the following, together with an explanation of why said items have not been fully paid: That the Personal Representative_____ will distribute the remaining probate assets in accordance with the following schedule unless objection to the proposed distribution is filed in C ourt with twenty (20) days after the filing of this Stateme nt of Account: SCHEDULE OF PROPOSED DISTRIBUTION RELATIONSHIP OR FRACTIONAL PERSONAL PROPERTY TO WHICH DISTRIBUTEE ARTICLES OF WILL INTEREST EACH DISTRIBUTEE IS ENTITLED Form 606 D I Page 3 of 4 Revised 3/17/2003 <<<<<<<<<********>>>>>>>>>>>>> 4Real Property described in the Inventory filed with the Court REL ATIONSHIP OR HEIR or DEVISEE AR TICLES OF WILL INTEREST The undersigned Pers onal Repres entative _____ further state_____: That Notice of Grant of L etters, as required by Sec. 473.033 RSMo., including a parag raph stating that Letters authorizing independent administration, in the form required by Sec. 473.783 RSMo., was duly given, and the firs t publication of such Notice occurred more than six (6) months before the filing of this Statement of Account. That Notice was given in the manner provided by Sec. 472.100.2 (2) RSMo ., at least twenty-nine (29) days prior to the filing of the Statement of Account which notice stated that: (a) The Pers onal Repres entative would file the Statement of Account on the date certain or as continued by the Court; (b) Objections to the Schedule of Proposed Distribution shall be filed with the Court within twenty (20) days after the filing of the Statement of Account and; (c) The notice was published once a week for four consecu tive weeks, the last publication at least seven days prior to the date specified therein for filing of the Sta tement of Account. That copies of the Statement of Account, copies of the original and any supplementary and corrected Inventories and all Settlements filed in the Court and, a notice were mailed together by ordinary mail to each interested party, such notice s tating that the Statement of Account would be filed in the Court on a date stated in the notice and, that if no objections were filed in the Court within twenty (20) days after the filing of the Statement of Account, the Personal Representative would distribute in accordance with the Sc hedule of Proposed Distribution contained in the Statement of Account. That the mailed Notice further stated that if no proceeding is commenced in the Court within one (1) year after filing of the Statement of Account, the Personal Representative would be discharged from further claim or demand by any interested party. THE STATEMENTS AND REPRESENT ATIONS IN THIS DOCUMENT AR E MADE UNDER OATH AND AR E TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BE LIEF. I UNDERSTAND THEY AR E MADE SUBJECT TO THE PEN ALTIES OF MAKING A FALSE AFFIDAVIT OR DECLAR ATION. S ig nature S ig nature: Personal Re presen tative Co-Personal Represen tative Addres s : Addres s : Phone Phone: Attorney: Bar Number: Addres s Phone Number: Form 606 D I Pag e 4 of 4 Re vis ed 3/17/2003
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