Report Of Referee {Rule 7.11 Form 1}

Rule 7.11--Form 1: Report of Referee In the Iowa District Court for In the Matter of the Estate of: Probate no. County Report of Referee Full name: first, middle, last Deceased. Comes now the duly appointed Referee and reports to the court as follows: The Report has been filed in this Estate. The Referee has examined the Report and reports to the court as follows: All questions must be answered. If "Yes" or "No" is not appropriate, check "N/A." Yes No N/A 1. 2. Notice of Appointment published: Affidavit of Mailing Notice required by A. B. Iowa Code sections 633.230 and 633.304: Iowa Code sections 633.231 and 633.304A (medical assistance claims): 3. 4. Fiduciaries fees ordered or waived and affidavit of compensation filed: Attorney fees ordered and affidavit of compensation filed: A. B. Itemization requested and provided: If not, statement required by Iowa Code section 633.477(11) made: 5. 6. 7. 8. 9. Income tax acquittance filed: Inheritance tax clearance filed or certification required by Iowa Code section 450.58 made: A list of distributees is shown: A description of real estate is shown: Certificates of change of title to real estate, as required: 10. All claims filed have been paid, disallowed, or released: 11. Notice of hearings on this Report waived: If not waived, proper proof of service of notice is on file: 12. Accounting is waived: 13. Court costs have been paid: 14. Election filed by or for surviving spouse under Iowa Code section 633.236: 15. Receipts for all specific bequests: May 2014 Rule 7.11--Form 1 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Rule 7.11--Form 1: Report of Referee, continued Yes No N/A 16. Federal estate tax closing letter and proof of payment is on file (not required for closing): 17. There is a statement that decedent left genetic material: A. B. C. D. E. Decedent left genetic material: If decedent left genetic material and was married at time of death, sufficient estate assets are reserved to fund distribution to posthumous heirs: Posthumous child (Iowa Code section 633.220A) or child born or adopted after execution of will (Iowa Code section 633.267): Final distributions will be made two years after decedent's death: Supplemental report will be submitted after final distributions: 18. Remarks: , 20 Month Day Year /s/ Referee in probate signature Attorney law firm, if applicable Mailing address ( ). Phone number City State ZIP code Email address Additional email address, if applicable May 2014 Rule 7.11--Form 1 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com