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Accounting Form. This is a Kansas form and can be use in 4th Judicial District Local District Court.
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Tags: Accounting, Kansas Local District Court, 4th Judicial District
9/06
JUDICIAL DISTRICT
COUNTY, KANSAS
IN THE
DISTRICT COURT OF
In the Matter of the
)
(Guardianship)(Conservatorship) of )
)
)
)
Case No. _________
Proceeding Pursuant to K.S.A. Chapter 59
ANNUAL
FINAL
Name
,
Address
City & Zip Code
2
to
2
,
In the Conservatorship of ,
Comes now,
ACCOUNTING
Telephone Number
(guardian) (conservator) in the above entitled estate and submits the following (annual) (final) accounting in
the conservatorship of
Name
Address, City & Zip Code
,2
to
,2
for the period from
Year of Birth
.
I. Statement of Receipts and Disbursements
RECEIPTS
DATE
RECEIVED FROM
EXPLANATION
Balance Carried
Forward
AMOUNT
$
TOTAL RECEIPTS (Including
balance carried forward)
$
DISBURSEMENTS
DATE
PAID TO
PURPOSE
AMOUNT
$
TOTAL DISBURSEMENTS
$
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SUMMARY
Total Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Total Disbursements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Cash Balance on Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
II. INVENTORY
Your conservator accounts for the fair market value of the following assets:
REAL ESTATE
1.
2.
3
4.
Fair Market Value
TOTAL REAL ESTATE
$
$
$
$
$
PERSONAL PROPERTY
1.
Financial Institution Accounts
Description
(a) Checking
(b) Savings
(c) Certificates of Deposit
(d) Other
2.
3.
$
$
$
$
Stocks & Bonds
Description
$
Other Personal Property
Description
$
Amount
Amount
Amount
Total Personal Property . . . . . . . . . . . . $
Total Real Estate and Personal Property . . . . . . . . . . . . $
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true
and correct.
Conservator
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