Rule 7.11 — Form 1 March 2006 IN THE IOWA DISTRICT COURT FOR _________________________ COUNTY IN THE MATTER OF THE ESTATE OF ____________________________________, Deceased. REPORT OF REFEREE Probate No. ________________________ COMES NOW the duly appointed Referee and reports to the Court as follows: The ____________________________ Report has been filed in this Estate. The Referee has examined said Report and reports to the Court as follows: (All questions must be answered. If “yes” or “no” is not appropriate, check “N/A”.) 1. Notice of Appointment published: YES _______ NO _______ N/A _______ 2. Affidavit of mailing notice required by Iowa Code sections 633.230 and 633.304: N/A _______ YES _______ NO _______ 3. Fiduciaries fees ordered or waived and affidavit of compensation filed: N/A _______ YES _______ NO _______ 4. Attorney fees ordered and affidavit of compensation filed: NO _______ N/A _______ YES _______ (A) Itemization was requested and provided: YES _______ NO _______ N/A _______ (B) If not, statement required by Iowa Code section 633.477(11) was made: NO _______ N/A _______ YES _______ 5. Income tax acquittance filed: YES _______ NO _______ N/A _______ 6. Inheritance tax clearance filed or certification required by Iowa Code section 450.58 made: YES NO _______ N/A _______ _______ 7. A list of distributees is shown: YES _______ NO _______ N/A _______ 8. A description of real estate is shown: YES _______ NO _______ N/A _______ 9. Certificates of change of title to real estate, as required: NO _______ N/A _______ YES _______ 10. All claims filed have been paid or released: YES _______ NO _______ N/A _______ 11. Notice of hearing on this Report waived: YES _______ NO _______ N/A _______ (A) If not waived, proper proof of service of _______ _______ _______ notice is on file: YES NO N/A 12. Accounting is waived: YES _______ NO _______ N/A _______ 13. Court costs have been paid: YES _______ NO _______ N/A _______ 14. Election filed by or for surviving spouse under section 633.236: NO _______ N/A _______ YES _______ 15. Receipts for all specific bequests: YES _______ NO _______ N/A _______ 16. Federal estate tax closing letter and proof of payment is on file (not required for closing): NO _______ N/A _______ YES _______ 17. Remarks: ________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Dated this ___________________________ day of _____________________, 20 _____. __________________________________________________ Referee in Probate American LegalNet, Inc. www.FormsWorkflow.com