ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and telephone #): FOR COURT USE ONLY STATE BAR NO: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MARIN 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 IN THE MATTER OF THE ESTATE OF: CASE NUMBER: SUMMARY OF FIDUCIARY’S ACCOUNT *SUMMARY OF FIDUCIARY’S ___________________________________________________ ACCOUNT Period: ____________________________ to ________________________ number of months__________ Value of Assets: 1. Inventory or Carrying Value: $ ___________________________ 2. Market Value at Time of Last Account (Estimated): $ ___________________________ 3. Present Market Value (Estimated): $ ___________________________ 4. Amount of Bond: $ ___________________________ Income During Last Accounting Period $ ___________________________ Income During Present Accounting Period: $ ___________________________ Fees Requested by Fiduciary: $ ___________________________ Fees Requested by Attorney: $ ___________________________ Basis of Fee Computation: Additional Information: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Date: _________________________________ ________________________________________ FIDUCIARY *To be attached to all accounts of Guardians, Trustees and Conservators PR005WB SUMMARY OF FIDUCIARY’S ACCOUNT Rev. 7/07 American LegalNet, Inc. www.FormsWorkflow.com