Receipts And Disbursements {13.1}

PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge Estate of: _______________________________________________________________________, Deceased Case No.______________________ Date:_____________________ 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. Voucher Number $ Item Value or Amount $ Value or Amount Form 13.1 - RECEIPTS AND DISBURSEMENTS Crensch$ \forms\13.1 131 7/26/01 American LegalNet, Inc. www.USCourtForms.com Page Item of pages Vo Number $ Amount $ Amount Prepared by: Attorney's Name Address Phone # Registration # ___________________________________________ Fiduciary American LegalNet, Inc. www.USCourtForms.com