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[ ] Executor [ ] Administrator of intestate

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FORM CC-1680 (MASTER, PAGE ONE OF TWO) 07/18
ACCOUNT FOR DECEDENT’S ESTATE Court File No. ..............................................................................
COMMONWEALTH OF VIRGINIA
VA. CODE §§ 64.2-1206, 64.2-1308
Ci
rcuit Court of
................................................................................................................................................................................................................................
Esta
te of
................................................................................................................... , Deceased Date of decedent’s death ........................................
Type of Fiduciary:
[ ] Executor [ ] Administrator of intestate [ ] Administrator, c.t.a. [ ] Curator
Name of fiduciary
.......................................................................................................... Day telephone ..............................................................................
Mailing address
................................................................................................................................................................................................................................
Na
me of other fiduciary
............................................................... Day telephone .............................................................................................................
Ma
iling address
................................................................................................................................................................................................................................
This is account number [ ] one [ ] two [ ] three [ ] ........................................Is this a final account? [ ] yes [ ] no.
From
.......................................
(date of qualification* or end of last account) to .......................................................... (end of this account)
*First account must also include income/disbursement activity from date of death.
ACCOUNT SUMMARY
1. Beg
inning Assets (from Parts 1 and 3 of the inventory or $
....................................................
from the prior account)
2. Receipts (attach itemized list)
......................................................
3. Gai
ns on Asset Sales (attach itemized list)
......................................................
4. Ad
justments (attach itemized list)
......................................................
5. T
otal of 1, 2, 3 and 4 (must equal Total in Line 10) $
..........................................................
6. Disbursements for Debts & Expenses (attach itemized list) $
....................................................
7. Lo
sses on Asset Sales (attach itemized list)
......................................................
8. Dis
tributions to Beneficiaries (attach itemized list)
......................................................
9. As
sets on Hand (attach itemized list)
......................................................
10. To
tal of 6, 7, 8, and 9 (must equal Total in Line 5) $
..........................................................
Market Value of Assets on Hand $
....................................................................................................
1. I (We) certify that this is a true and accurate accounting of the assets of this estate for the period described, and if this is a
final account, that to the best of my (our) knowledge all taxes have been paid or provided for.
2. I (
we) also certify and affirm that (choose one):
A.
[ ] On or before the date of filing this Account with the Commissioner of Accounts, I(we) sent a copy of it by first
class mail to every person entitled to a copy, pursuant to Virginia Code Section 64.2-1303, who made a written
request therefor. The names and addresses of the persons to whom copies were sent and the dates they were
mailed are shown on Page 2.
or
B.
[ ] No person entitled to a copy of this Account pursuant to Virginia Code Section 64.2-1303 made a written
request therefor.
Dat
e
........................................................................................... Fiduciary’s Signature ______________________________________
Dat
e
........................................................................................... Fiduciary’s Signature ______________________________________
Clear All Data
0.00
0.00
FORM CC-1680 (MASTER, PAGE TWO OF TWO) 10/12
Certificate of Mailing
I, the undersigned, do hereby certify that I have mailed a copy of the foregoing A
CCOUNT FOR DECEDENT’S ESTATE
to the following individuals on this the
................... day of ........................................................... 20 ...............
__________________________________________ __________________________________________
Executor/Administrator Executor/Administrator
__________________________________________
Executor/Administrator
Name of Recipient
Name of Recipient
Address
Address
City State ZIP
City State ZIP
Name of Recipient
Name of Recipient
Address
Address
City State ZIP
City State ZIP
Name of Recipient
Name of Recipient
Address
Address
City State ZIP
City State ZIP
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Executor Administrator of intestate

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Completed 5 January 2022

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