700-00055 - Report of Fiduciary for Small Estate (0/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE OF : REPORT OF FIDUCIARY FOR SMALL ESTATE I, , state under oath: I have paid the funeral expenses of the deceased.I have paid all known debts of the deceased and have attached a list of debts paid showing the personpaid, the amount paid and the nature of the debts.I have paid the expenses of administration.I have paid over the balance of the estate in accordance with the terms of the Will or in accordance withlaw if there is no WillI have attached such receipts as are required by the Court. I request that this report be accepted, that I be discharged as administrator, and that the estate be closed. Date Signature of Fiduciary Fiduciary s Printed Fiduciary s Address Fiduciary s Phone Number Signed and sworn to before me: ORDER DISCHARGING FIDUCIARY AND CLOSING ESTATE Based on the s worn statement of the Fiduciary of the Est ate, the re port is accepted, t he Fiduciary is discharged, and the estate is closed. Date Signature of Judge Judge s Printed Name Date Signature of Register , Judge or Notary Republic Expiration Date American LegalNet, Inc. www.FormsWorkFlow.com