Receipts And Disbursements {13.1}

PC-E-13.1 (Rev. 1-2008) PROBATE COURT OF FRANKLIN COUNTY, OHIO LAWRENCE A. BELSKIS, JUDGE ROBERT G. MONTGOMERY,JUDGE ESTATE OF CASE NO. , DECEASED 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. Show the institution, the last four digits only of each account number and the type of account Item Voucher No. Value or Amount $ Value or Amount $ FORM 13.1 - RECEIPT AND DISBURSEMENTS American LegalNet, Inc. www.FormsWorkFlow.com Page of pages CASE NO. Item Show the institution, the last four digits only of each account number and the type of account Voucher Value or Value or No. Amount Amount $ $ Fiduciary American LegalNet, Inc. www.FormsWorkFlow.com