Probate Court Form No. 117A
(page 1 of 2)
Summary of Account of Trustee Alternate Form
STATE OF VERMONT PROBATE COURT
DISTRICT OF ,SS. DOCKET NO.
IN RE TRUST OF
FOR THE BENEFIT OF
SUMMARY OF ACCOUNT OF TRUSTEE
(Alternate Form)
I, , trustee of the above named
trust estate account to the court as provided in this summary and
the schedules attached hereto for the period
to .
Total from Inventory │ ║ │ ║ │
or previous │ ║ │ ║ │
Accounting │ ║ │ ║ │
│ ║ │ ║ │
Other Receipts │ ║ │ ║ │
│ ║ │ ║ │
Net gain (or loss) │ ║ │ ║ │
on sales or other │ ║ │ ║ │
disposition │ ║ │ ║ │
│ ║ │ ║ │
Distributions to │ ║ │ ║ │
beneficiaries │ ║ │ ║ │
│ ║ │ ║ │
│ ║ │ ║ │
│ ║ │ ║ │
│ ║ │ ║ │
│ ║ │ ║ │
Balance: │ ║ │ ║ │
│ ║ │ ║ │
The foregoing is a just and true account,
(Trustee)
Subscribed and sworn to this day of , 20 .
Before me,
Judge-Register-Justice of the Peace-Notary Public
NOTICE: A certificate of service must be filed with the Court by
the person who submits this document. The certificate must lest
each person to whom copies of this document have been sent,
together with the person's address, the date of service and the