Fiduciary Report On License {PE 43}

Form PE43 SUPERIOR COURT STATE OF VERMONT PROBATE DIVISION Unit Docket No._____________________ In re ESTATE OF Decedent FIDUCIARY REPORT ON LICENSE Real Estate Personal Property Name of Fiduciary I, Date report to the Court that on , the property described below was: Sold at Public Auction Private Sale Sale Price: $_______________ Conveyed Mortgaged Leased Property Description (describe only the property that has been sold, conveyed, mortgage or leased): Date of License This transaction was authorized by a License issued on Dated Signature of Fiduciary Fiduciary's Name Printed Fiduciary's Address Fiduciary's Phone Number SML 11/12 ( ) American LegalNet, Inc. www.FormsWorkFlow.com