PROBATE COURT OF ____________________ COUNTY, OHIO
ESTATE OF __________________________________________________________, DECEASED
CASE NO. ________________________
RECEIPTS AND DISBURSEMENTS
[Attach to fiduciary's account]
Page __________ of __________ pages
Following is an itemized statement of receipts and disbursements by the fiduciary in the administration of his trust.
_________________________________________________________________________________________________
Item Voucher Value or Value or
No. Amount Amount
$
$
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
13.1 - RECEIPTS AND DISBURSEMENTS
(Reverse of Form 13.1)
Page _________ of __________ pages
_________________________________________________________________________________________________
Item Voucher Value or Value or
No. Amount Amount
$ __$
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
___________________________________________________
Fiduciary
Print Form