Annual Accounting (Guardianship)

1 Annual Accounting SJCCOC 2018 IN THE CIRCUIT COURT, SEVENTH JUDICIAL CIRCUIT, IN AND FOR ST. JOHNS COUNTY, FLORIDA THE GUARDIANSHIP OF: Case No.: Division: ANNUAL ACCOUNTING Start Date: End Date: Starting Balance $ PART A: MONEY IN (List each account number and total.) 1. $ 2. $ 3. $ 4. $ 5. $ TOTAL MONEY RECEIVED $ PART B: MONEY OUT (List each account number and total.) 1. $ 2. $ 3. $ 4. $ 5. $ TOTAL MONEY SPENT $ PART C: GAIN/LOSS (Total money gained/lost during accounting period.) TOTAL GAIN/LOSS $ PART D: ENDING BALANCE (Total balance at the end of accounting period.) ENDING BALANCE $ COVER PAGE American LegalNet, Inc. www.FormsWorkFlow.com 2 Annual Accounting SJCCOC 2018 PART A: MONEY IN ACCOUNT NUMBER: DATE MONEY IN - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY IN (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 3 Annual Accounting SJCCOC 2018 PART A: MONEY IN ACCOUNT NUMBER: DATE MONEY IN - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY IN (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 4 Annual Accounting SJCCOC 2018 PART A: MONEY IN ACCOUNT NUMBER: DATE MONEY IN - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY IN (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 5 Annual Accounting SJCCOC 2018 PART A: MONEY IN ACCOUNT NUMBER: DATE MONEY IN - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY IN (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 6 Annual Accounting SJCCOC 2018 PART A: MONEY IN ACCOUNT NUMBER: DATE MONEY IN - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY IN (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 7 Annual Accounting SJCCOC 2018 PART B - 1: COURT GUARDIAN FEES & COSTS, AND/OR OTHER COURT ORDERED DISBURSEMENTS) DATE DESCRIPTION & ACCOUNT NUMBER AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ TOTAL COURT ORDERED MONEY OUT $ PART B - 2: COMPANION/GUARDIAN ASSISTANT FEES (MONEY OUT) DATE DESCRIPTION & ACCOUNT NUMBER AMOUNT $ $ $ $ $ $ TOTAL COMPANION/GUARDIAN ASSISTANT FEES MONEY OUT $ American LegalNet, Inc. www.FormsWorkFlow.com 8 Annual Accounting SJCCOC 2018 PART B - 3: MONEY OUT ACCOUNT NUMBER: DATE MONEY OUT - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY OUT (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 9 Annual Accounting SJCCOC 2018 PART B - 3: MONEY OUT ACCOUNT NUMBER: DATE MONEY OUT - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY OUT (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 10 Annual Accounting SJCCOC 2018 PART B - 3: MONEY OUT ACCOUNT NUMBER: DATE MONEY OUT - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY OUT (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 11 Annual Accounting SJCCOC 2018 PART B - 3: MONEY OUT ACCOUNT NUMBER: DATE MONEY OUT - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY OUT (For this bank account) $ American LegalNet, Inc. www.FormsWorkFlow.com 12 Annual Accounting SJCCOC 2018 PART B - 3: MONEY OUT ACCOUNT NUMBER: DATE MONEY OUT - DESCRIPTION AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL MONEY OUT (For this bank account) $ OVERALL TOTAL MONEY OUT $ American LegalNet, Inc. www.FormsWorkFlow.com 13 Annual Accounting SJCCOC 2018 PART C - 1: MONEY TRANSFERS/SALE OF BELONGINGS DATE AMOUNT FROM ACCOUNT NO. TO ACCOUNT NO. $ $ $ $ $ $ $ $ $ $ PART C - 2: NON - CASH GAINS & LOSES VALUABLE ITEM/ INVESTMENT GAIN LOSS $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL GAINS/ TOTAL LOSSES $ $ OVERALL TOTAL GAIN OR LOSS AMOUNT $ American LegalNet, Inc. www.FormsWorkFlow.com 14 Annual Accounting SJCCOC 2018 PART D: ENDING VALUE OF ASSETS NON - CASH BELONGINGS VALUE $ $ $ $ $ $ $ $ $ TOTAL VALUE OF NON - CASH BELONGINGS $ CASH & INVESTMENT ACCOUNTS BALANCE $ $ $ $ $ $ $ $ $ TOTAL VALUE OF CASH & INVESTMENT ACCOUNTS $ TOTAL ENDING VALUE OF ASSETS $ American LegalNet, Inc. www.FormsWorkFlow.com 15 Annual Accounting SJCCOC 2018 TRUST INFORMATION Does the ward have one or more Trusts? Yes No Was the Trust created after the Guardianship Inception Date? Yes No request that you voluntarily provide the trust information. Name of the Trust Name of the Trustee Trustee Account No. Date Trust created Type of Trust Amount of the Trust $ BOND CALCULATION Bond calculation consists of liquid assets: all cash, personal property or intangible assets. Only real property is not considered liquid. Cash assets in RESTRICTED depository $ Other liquid assets - intangible assets RESTRICTED $ Cash assets NOT in a restricted depository $ Other liquid assets - personal property assets $ Other liquid assets - intangible assets $ Total for BOND REQUIREMENT $ BOND REQUIREMENT Guardianship bond amount should be the amount of all liquid assets less those in a restricted depository or frozen account. BOND AMOUNT $ Bond Period From: To: Name of Bonding Company American LegalNet, Inc. www.FormsWorkFlow.com 16 Annual Accounting SJCCOC 2018 PLEASE ATTACH BANK STATEMENT ( S ) THAT SUPPORT THE ENDING BALANCE OF THE ACCOUNTING PERIOD FOR EACH ACCOUNT An audit fee is required by FL. Stat. 247744.3678(4) and must be included at the time the Annual Accounting is filed. If the estate is less than $25,000.00 the audit fee due is $20.00; if greater than $25,000.00 but less than $100,000.00 the audit fee due is $85.00; if greater than $100,000.00 but less than $500,000.00 the audit fee is $170.00; and if greater than $500,000.00 the audit fee is $250.00. American LegalNet, Inc. www.FormsWorkFlow.com 17 Annual Accounting SJCCOC 2018 The undersigned Guardian (or Co - Guardians) certifies that the Guardian(s) has obtained a receipt or cancelled check for all expenditures and di sbursements made on behalf of the ward, which the Guardian will preserve along with other substantiating papers for a three (3) year period after discharge of the Guardian, and will upon request be made available for inspection as the Court may order. (per FL. Stat. 247744.3678(3).) Under penalties of perjury, I declare that I have read and examined the foregoing accounting and that, to the best of my knowledge and belief, it constitutes a full and correct account dian has control, and is a complete report of all cash and property through , and includes an account statement for each account on deposit or invested at a financial institution as of the close of the accounting period. Attorney for Guardian Guardian (Signature) Florida Bar No. Guardian (Print) Address (Line 1) Co - Guardian (Signature) Address (Line 2) Co - Guardian (Print) City State Zip Telephone No. American LegalNet, Inc. www.FormsWorkFlow.com