District Court Denver Probate Court _________________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: Deceased Protected Person Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg.#: Courtroom INTERIM FINAL ACCOUNTING FOR PERIOD: FROM _________________________ TO ________________________ The undersigned states: That the following is a true and complete account of the administration of this estate during the period shown, both dates inclusive. ___________________________________________ Signature and Title of Fiduciary ___________________________________________ ___________________________________________ ___________________________________________ Type or print name, address & tele.# of Fiduciary NOTE: See Rule 31 of the Colorado Rules of Probate Procedure for filing requirements and instructions. SUMMARY OF CASH RECEIPTS AND EXPENDITURES ONLY Cash Balance on hand at beginning of period of this accounting $_____________________ Total cash received or collected during period of this accounting $_____________________ $____________________ Total cash paid out during period of this accounting $____________________ Cash Balance on hand at end of period of this accounting $____________________ REMARKS AND NONCASH TRANSACTIONS CPC 43 R7/00 INTERIM FINAL ACCOUNTING 1 2001 © American LegalNet, Inc. CASH RECEIVED OR COLLECTED DURING PERIOD Date From Whom and for What: Amount Total Cash received or collected CPC 43 R7/00 INTERIM FINAL ACCOUNTING $0.00 2 2001 © American LegalNet, Inc. CASH PAID OUT DURING PERIOD Date From Whom and for What: Amount Total Cash paid out CPC 43 R7/00 INTERIM FINAL ACCOUNTING $0.00 3 2000 © American LegalNet, Inc. ASSETS REMAINING AT END OF PERIOD CPC 43 R7/00 INTERIM FINAL ACCOUNTING 4 2000 © American LegalNet, Inc.