Report Of Distribution
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Report Of Distribution Form. This is a Ohio form and can be use in Butler County (Court Of Common Pleas).
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Tags: Report Of Distribution, 14.3, Ohio County (Court Of Common Pleas), Butler
PROBATE COURT OF BUTLER COUNTY, OHIO
ESTATE OF
, DECEASED
CASE NO.
REPORT OF DISTRIBUTION OF
WRONGFUL DEATH AND SURVIVAL CLAIMS
Pursuant to Entry filed
and on the accompanying vouchers.
,
, the proceeds have been paid as shown below
Gross Proceeds
$
Funeral and burial expenses
$
Fiduciary fees to
$
Reimbursement of case expenses to
$
Attorney fees to
$
Survival claim to the estate
$
Total deductions
$
Net proceeds
$
Net proceeds to beneficiaries:
To:
$
To:
$
To:
$
To:
$
To:
$
To:
$
To:
$
Total payments to beneficiaries
$
Balance
The fiduciary states that there are no other assets remaining in the estate.
The fiduciary states that there are assets remaining in the estate.
Attorney for Fiduciary
Fiduciary
Attorney Registration No.
ENTRY
The above report of the distribution of the proceeds is hereby approved.
There being no further assets to administer, the fiduciary and surety, if any, are discharged.
Date
PROBATE JUDGE
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FORM 14.3 - REPORT OF DISTRIBUTION OF WRONGFUL DEATH AND SURVIVAL CLAIMS - PDF
4/1/2004
