FormPE43
STATEOFVERMONT
SUPERIORCOURT

PROBATEDIVISION
Unit DocketNo._____________________
Decedent
I
nreESTATEOF
FIDUCIARYREPORTONLICENSE
RealEstate PersonalProperty

I,
N
ameofFiduciary
totheCourtthatonreport
Date
c as:,thepropertydes ribedbeloww
PrivateSaleSoldatP
ublicAuction
$_______________SalePrice:
e
Conveyed
Mortgag
Leased
d
PropertyDescription(describeonlythepropertythathasbeensold,conveyed,mortgageor
ased):
le
histransactionwasauthorizedbyaLicenseissued
n
T
D
ateofLicense
o
Dated
SignatureofFiduciary
Fiduciary’sNamePrinted
Fiduciary’sAddress
Fiduciary’sPho
()
neNumber
SML 11/12