IN THE PROBATE COURT OF SHELBY COUNTY, TENNESSEE ORDER CONFIRMING SETTLEMENT IN THE MATTER OF: _______________________________________ DOCKET NO:_________________ _______________________________________ This cause came on to be heard on: (circle one) ANNUAL INTERIM FINAL Settlement of (person filing and their title)___________________________________________ and the Report of the Clerk thereon filed the ______ day of ____________________, 20______, and it appearing that said Settlement is in all things regular ______________________________ ______________________________________________________________________________ ______________________________________________________________________________ and that no exceptions have been filed thereto; it is therefore ordered that the said Settlement be, and the same is hereby in all things confirmed. It is further ordered that the same shall be recorded in the Settlement Records of this Court, subject to being re-opened only for good cause shown upon motion of an interested party or by the Court on its own motion. For this accounting period the fiduciary fee is: $____________ An attorney’s fee is set in the amount of: $_________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________ JUDGE _____________________________ DATE ____________________________________ ATTORNEY and BPR NUMBER ___________________________________ ADDRESS ___________________________________ PHONE NUMBER American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com