Report Of Distribution Of Wrongful Death And Survival Claims {14.3}

FORM 14.3 - REPORT OF DISTRIBUTION OF WRONGFUL DEATH AND SURVIVAL CLAIMS. This form is used in the Probate Court of Stark County, Ohio, to provide a detailed, final accounting of how the proceeds from a wrongful death and/or survival claim settlement were distributed. This report is submitted by the fiduciary (such as the executor or administrator of the estate) following a court-approved settlement. The form includes information on the total gross proceeds received, along with itemized deductions for funeral and burial expenses, fiduciary fees, attorney fees, and reimbursement of case expenses. It also identifies any amounts allocated to the estate from a survival claim. The form details the net proceeds available for distribution to the beneficiaries of the wrongful death claim, listing each beneficiary’s name and the exact amount they received. It further indicates whether any assets remain in the estate. Once completed and signed by both the fiduciary and their attorney, the report is submitted to the court for approval. Upon approval, if there are no remaining assets to administer, the fiduciary and any surety may be formally discharged, effectively closing this part of the estate administration. www.FormsWorkflow.com