FORM SUMMARY Name of Form: Final Account (Informal and Formal Administration) Form Number: PR-1814 Statutory Reference: §§862.01, 862.05, 862.07, 862.11, and 865.16(1)(c), Wisconsin Statutes Benchbook Reference: PR 3-5, formal Purpose of Form: To account for the property of the decedent chargeable to the personal representative. Who Completes It: Personal Representative Distribution of Form: For formal administration, original to court file. For formal and informal administration, the personal representative shall furnish a copy to every person interested whose distribution is affected. Accompanying Forms: For formal administration, a Petition for Approval of Final Account required. New Form/Modification: Modifications; last update 12/04. Modifications: Added “Amended” and “Supplemental” to title. Clarified starting balance as being Inventoried assets as of last account. Comments: Form not required for estates settled by sworn statement under §865.16. About this form: This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Date: 10/11/2007 Page 1 American LegalNet, Inc. www.FormsWorkflow.com For Official Use COUNTY STATE OF WISCONSIN, CIRCUIT COURT, Amended Supplemental IN THE MATTER OF THE ESTATE OF Final Account Informal Formal Case No. I, the personal representative of this estate, certify that this Final Account is true and correct. The following is my to account of the administration of this estate from (Date of Death or Date of Prior Account) (Date) List interested persons on page 2. RECEIPTS VALUES $ Inventoried Assets (or assets on hand as of last account) Added Property (Schedule A) Dividends (B) Interest (C) Capital Gains (Losses) (D) Other Receipts (E) DISBURSEMENTS VALUES Funeral Expenses (Schedule F) Debts of Decedent (G) Claims(including those by judgment) (H) Taxes Paid (I) Interest Paid (J) Administration Expenses (K) Other Payments (L) Distributions Paid to Date (M) $ TOTAL DISBURSEMENTS $ $ Assets on Hand (N) $ BALANCING TOTALS Assets on Hand (Schedule N) Minus Requested Fees: Attorney Personal Representative Guardian Ad Litem $ $ $ $ $ Balance Available for Distribution. Specific assets must be listed in Schedule O. List of proposed distribution (Schedule P) ($ ) $ Signature of Co-personal Representative Signature of Personal Representative Subscribed and sworn to before me on Subscribed and sworn to before me on Notary Public/Court Official Notary Public/Court Official My commission expires: My commission expires: Name of Attorney Telephone Number Bar Number Address PR-1814, 10/07 Final Account (Informal and Formal Administration) §§862.01, 862.05, 862.07, 862.11 and 865.16(1)(c), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com . Final Account (Informal and Formal Administration) Page 2 of 3 Case No. Final Account Supporting Schedule List of Interested Persons The names and addresses of all interested persons are: (Include any minor(s) with date of birth, incompetent(s), guardian(s) of estate, guardian ad litem or attorney for a person in the military and note if any person is in the military) Name Relationship D. O. B. if Minor Address PR-1814, 10/07 Final Account (Informal and Formal Administration) §§862.01, 862.05, 862.07, 862.11 and 865.16(1)(c), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com Final Account (Informal and Formal Administration) Schedule Alpha (A - P) Page 3 of 3 Case No. Final Account Supporting Schedules (List details of each schedule) PR-1814, 10/07 Final Account (Informal and Formal Administration) Total Values §§862.01, 862.05, 862.07, 862.11 and 865.16(1)(c), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com