This form is only available from the CCAP system used by the circuit courts. American LegalNet, Inc. www.USCourtForms.com STATE OF WISCONSIN CIRCUIT COURT SAMPLE COUNTY For Official Use Only Notice To Make Annual Filing In the Estate of Name of Decedent (Trust) Case No.: 2003PR123456T NAME OF TRUSTEE SECONDARY ADDRESS PRIMARY ADDRESS CITY.WI..99321-1234 THIS IS A BLANK LINE_ALIASNAME THIS IS A BLANK LINE_FIRM Wisconsin Statutes require a testamentary trustee to make and file a verified account annually with the court. Please complete the enclosed Trustee's Account and file with the court by DUE DATE. To complete this account: *The beginning balance prints on Line 1 of the Summary on the enclosed account, based on the ending "balance on hand" from the last Trustee's Account (if the trust was created in the last calendar year, your starting balance is the inventory total). *On schedule A, itemize all assets or income received during the period. This total should be transferred to line 2 of the Summary. Add this amount to Line 1, and print the total on Line 3. *On schedule B, itemize all disbursements, distributions and losses incurred during the period. This total should be transferred to Line 4 of the Summary. Subtract this amount from the total in Line 3. The resulting balance should be inserted in Line 5. This is the Ending Balance (Total Assets on Hand) at the end of the accounting period. *On Schedule C, itemize the assets in the estate. The Grand Total must match Line 5 of the Summary, Ending Balance (Total Assets on Hand) at the end of the accounting period. Sign the Trustee's Account before a notary public. Show all securities, evidences of deposit (passbooks, CD's, etc.) and investments to a Register in Probate or another person authorized by the court. Request that the authorized person sign the Display and Verification of Assets on the Trustee's Account. Note: PR-1937 Trustee's Account is also available in a computer fillable format from the court website at www.wicourts.gov/circuit/advance_search.asp Please complete all available fields and print the completed form. Send the completed account to: Register Name Register in Probate Secondary Address Primary Address City WI 54321-1234 123-456-7890 ext. 9999 PR-1936(CCAP) 10/03 Notice to Make Annual Filing (Trust) This form shall not be modified. It may be supplemented with additional material. §701.16(4) and (5), Wisconsin Statutes American LegalNet, Inc. www.USCourtForms.com