GC-400(A)(C) Schedules A and C, Receipts and Disbursements Worksheet--Standard Account Optional Worksheet. Do Not File With Accounting Form Receipt Categories Amount Form Disbursement Categories Amount GC-400(A)(1) GC-400(A)(2) GC-400(A)(3) Dividends Interest Pensions, annuities, and other regular periodic payments $ $ GC-400(C)(1) GC-400(C)(2) Conservatee's caregiver expenses Conservatee's residential or long-term care facility expenses $ $ $ $ $ $ $ GC-400(C)(3) $ GC-400(C)(4) Ward's education expenses Fees of fiduciary and attorney General administration expenses Investment Expenses Living expenses Medical expenses of conservatee or ward GC-400(A)(4) GC-400(A)(5) Rent Social Security, veterans' benefits, and other public benefit payments $ GC-400(C)(5) GC-400(C)(6) $ GC-400(C)(7) $ GC-400(C)(8) $ $ $ $ GC-400(A)(6) Other Receipts GC-400(C)(9) GC-400(C)(10) GC-400(C)(11) Property sale expenses Rental property expenses Other expenses Total, Schedule A: $ Total, Schedule C: $ (Total Schedules A and C above. Carry the total sum of Schedule A over to line 3 of the Summary of Account (form GC-400(SUM)/GC-405(SUM)). Carry the total sum of Schedule C over to line 8 of the Summary of Account.) Page 1 of 1 Form Approved for Optional Use Judicial Council of California GC-400(A)(C) [New January 1, 2008] SCHEDULES A AND C, RECEIPTS AND DISBURSEMENTS WORKSHEET--STANDARD ACCOUNT (Probate--Guardianships and Conservatorships) Probate Code, §§ 1060­1064, 2620; Cal. Rules of Court, rule 7.575 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com