COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. IN THE CHANCERY COURT OF HAMILTON COUNTY, TENNESSEE : Calendar No. INSTRUCTIONS AND OUTLINE FOR AN ANNUAL ACCOUNTING Plaintiff(s) : JUDICIAL SUBPOENA STEP 1. START WITH BEGINNING BALANCE. This amount should be the monies and other assets turned over to you when you were -against: appointed Conservator or Guardian; : STEP 2. LIST EACH DEPOSIT AND INCOME RECEIVED. These should include all social security benefits, VA benefits, retirement benefits, interest from all sources, dividends, gifts, etc. Each receipt should be listed individually, by date, payer and amount; : STEP 3. TOTAL THE INCOME; Defendant(s) : ...................................................... STEP 4. ADD THE BEGINNING BALANCE AND THE INCOME. This gives you the TOTAL CHARGE for the accounting period; STEP 5. LIST ALL DISBURSEMENTS. This should be every check written, the date, to whom and the amount. Be sure to also include service charges, check charges or any other bank withdrawals. Transfers may be listed, but should not be included in the totals; THE PEOPLE OF THE STATE OF NEW YORK STEP 6. TOTAL THE DISBURSEMENT; TO STEP 7. SUMMARIZE THE TRANSACTIONS IN THE FOLLOWING FORM: Beginning Balance __________________________ Total Income + __________________________ __________________________ TOTAL C YOU, WE COMMANDHARGE that all business and excuses being laid aside, you and each of you attend before GREETINGS: , the Honorable at the Court Total Disbursements at - __________________________ located County of END the __________________________ in room , on BALANCE of day , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the STEP 8. THE ENDING BALANCE. This should match the balance on the ending bank statements. This ENDING BALANCE should then be broken down into the various amount in your accounts and state the bank where these assets on hand are deposited, such as: Your failure Local Bank -with this subpoena is punishable as a contempt of court and will make you liable to The to comply Checking 500.00 The Local Bank - Savings 1,000.00 the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a The Other Bank 10,000.00 result of your failure to comply. - CD #123 STEP 9. SEND ALL EXHIBITS WITH THE ACCOUNTING. You must submit all of the original bank statements and the canceled checks. Where Witness, Honorable , one of the Justices of the Certificates of Deposit have not matured, you will need to ask the bank to give you a printout detailing the account for the Court in day of , 20 accounting period. County, STEP 10. SUBMIT REPORT ON THE CONDITION AND LOCATION OF YOUR WARD. This report should include information regarding the physical and mental condition of the ward, any significant changes during the reporting period, where the ward is located and a (Attorney must sign above and type name below) statement which demonstrates whether the Conservatorship or Guardianship should be continued. STEP 11. SUBMIT A STATEMENT FROM YOUR CORPORATE SURETY. Attached to these instructions is a form which your surety will need to complete, and this form must be submitted with your accounting. Attorney(s) for STEP 12. MAKE SURE THERE IS A SWORN STATEMENT WITH YOUR ACCOUNTING. Office and P.O. Address [Form 035, Rev. 2002.01.11] Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com