STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 20TH JUDICIAL CIRCUIT ST. CLAIR COUNTY- IN PROBATE IN THE MATTER OF THE GUARDIANSHIP OF: ) ) _______________________________________________ ) (Minor and Disabled Adult) ) NO. ____________________ REPORT ­ CURRENT ACCOUNT The undersigned _____________________________, guardian of the above (name) Minor/Disabled person, respectfully submits to the Court the following report of his/her acts and doings in the administration of this case during the interim period from ____________________, 20______; to _________________________, 20_____: DATE ITEMS OF RECEIPTS TOTAL AMOUNT DOLLAR CTS. Total Amount of Money Received or Collected: American LegalNet, Inc. www.FormsWorkFlow.com DISBURSMENTS The following payments are substantiated with the attached vouchers, which are arranged in the order listed below. DATE ITEMS PAID OUT CHECK NUMBER TOTAL AMOUNTS DOLLARS CTS. TOTAL AMOUNT PAID OUT, American LegalNet, Inc. www.FormsWorkFlow.com RECAPITULATION DOLLARS TOTAL AMOUNT RECEIVED, TOTAL AMOUNT PAID OUT BALANCE DUE, CTS. The following is an itemized account of notes, bonds, accounts and evidences of indebtedness which are herewith presented for inspection, composing the personal estate of my said Minor/Disabled person. DESCRIPTION KIND OF INSTRUMENT DATE PAYOR SECURITITS RATE OF INT. AMOUNT REMARKS RECAPITULATION Total Receipts __________________________ Total Disbursements _____________________ Balance Due ___________________________ Dated __________________________, 20_______ __________________________________________ (Guardian) __________________________________________ (Guardian) American LegalNet, Inc. www.FormsWorkFlow.com STATE OF ILLINOIS COUNTY OF ST. CLAIR ________________________________________________________, the guardian if the case of ________________________________________________________, Minor or Disabled Adult being duly sworn, says that the foregoing is a full and correct account of all the dealings and transactions, and of all monies and effects received and disbursed in the administration of this case during the interim period from __________________________________, 20 __________ to ___________________________________, 20 _________. __________________________________________ (Guardian) __________________________________________ (Guardian) Signed and sworn to before me ____________________, 20____________ ___________________________________ (Clerk of the Circuit Court/ Notary Public) By: ____________________________, Deputy American LegalNet, Inc. www.FormsWorkFlow.com