9/06 IN THE JUDICIAL DISTRICT DISTRICT COURT OF COUNTY, KANSAS ANNUAL

Page 1

9/06
IN THE JUDICIAL DISTRICT
DISTRICT COURT OF COUNTY, KANSAS
In the Matter of the
)
(Guardianship)(Conservatorship) of ))
Case No. _________
))
Proceeding Pursuant to K.S.A. Chapter 59
G
ANNUAL
G
FINAL ACCOUNTING
In the Conservatorship of ,
,
2
to
2
,
Comes now,
Name
Address
City & Zip Code
Telephone Number
(guardian) (conservator) in the above entitled estate and submits the following (annual) (final) accounting in
the conservatorship of
Name
Address, City & Zip Code
for the period from
, 2
to
, 2
.
Year of Birth
I. Statement of Receipts and Disbursements
RECEIPTS
DATE
RECEIVED FROM
EXPLANATION
AMOUNT
Balance Carried
Forward
$
TOTAL RECEIPTS (Including
balance carried forward)
$
DISBURSEMENTS
DATE
PAID TO
PURPOSE
AMOUNT
$
TOTAL DISBURSEMENTS
$

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SUMMARY
Total Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Total Disbursements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Cash Balance on Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
II. INVENTORY
Your conservator accounts for the fair market value of the following assets:
REAL ESTATE
Fair Market Value
1.
$
2.
$
3
$
4.
$
TOTAL REAL ESTATE
$
PERSONAL PROPERTY
1.
Financial Institution Accounts
Description
Amount
(a) Checking
$
(b) Savings
$
(c) Certificates of Deposit
$
(d) Other
$
2.
Stocks & Bonds
Description
Amount
$
3.
Other Personal Property
Description
Amount
$
Total Personal Property . . . . . . . . . . . . $
Total Real Estate and Personal Property . . . . . . . . . . . . $
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true
and correct.
Conservator