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 ______________________________________
