IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF File No. Division Deceased. COUNTY, PROBATE DIVISION REPORT OF DISTRIBUTION (Multiple Personal Representatives) Petitioners, , allege: 1. Petitioners, as the personal representatives of the above estate, file herewith all remaining receipts necessary to show that the estate has been distributed in accordance with the proposed plan of distribution set forth in the Petition for Discharge. 2. The claims of all creditors have been paid or otherwise disposed of. Petitioners request that an order be entered discharging petitioners as personal representatives of this estate, and releasing the surety on petitioners' bond, if any, from further liability thereon. Under penalties of perjury, we declare that we have read the foregoing, and the facts alleged are true, to the best of our knowledge and belief. Signed on this ________ day of _________________________, ________. Attorney for Personal Representatives Email Addresses: _______________________________________ _______________________________________ Florida Bar No. _______________________________________ Personal Representatives (address) Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. P-5.0701 - 1 of 2 � Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com I CERTIFY that a copy hereof has been furnished to by , on , . Attorney [Print or Type Names Under All Signature Lines] Bar Form No. P-5.0701 - 2 of 2 � Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com