Annual Trust Accounting (D.C. Code §§ 19-1308.13(c) and 19-1310.05)

ANNUAL TRUSTEE'S REPORT (ACCOUNTING)

Pursuant to D.C. Code §§ 19-1308.13(c) and 19-1310.05

I. TRUST IDENTIFICATION

II. TRUSTEE IDENTIFICATION

III. BENEFICIARIES RECEIVING THIS REPORT (§ 19-1308.13(c))

IV. SUMMARY OF ACCOUNT

V. SCHEDULE OF RECEIPTS (§ 19-1308.13(c)(6))

A. Income Receipts

B. Principal Receipts

VI. SCHEDULE OF DISBURSEMENTS (§ 19-1308.13(c)(6))

A. Ordinary Administration Expenses

B. Taxes

VII. SCHEDULE OF DISTRIBUTIONS TO BENEFICIARIES (§ 19-1308.13(c)(6))

VIII. STARTING STATEMENT OF ASSETS (As of [__/__/____])

IX. ENDING STATEMENT OF ASSETS (§ 19-1308.13(c)(6)) (As of [__/__/____])

X. STATEMENT OF LIABILITIES (§ 19-1308.13(c)(6))

☐ The Trust has no outstanding liabilities as of the end of the reporting period.

XI. TRUSTEE COMPENSATION AND AGENTS HIRED (§ 19-1308.13(c)(6))

A. Trustee Compensation (Source and Amount)

B. Agents Hired by Trustee and Compensation

C. Related-Party Transactions

☐ The Trustee did not engage in any transactions during the reporting period with the Trustee personally, with any entity in which the Trustee holds a beneficial interest, or with any agent related to the Trustee, other than as fully disclosed above.

☐ The following related-party transactions occurred during the reporting period and are fully disclosed for the beneficiaries' review:

[________________________________________________________________]

[________________________________________________________________]

XII. STATUTORY LIMITATIONS NOTICE — 1-YEAR LIMITATION ON BREACH-OF-TRUST CLAIMS (D.C. Code § 19-1310.05)

NOTICE TO BENEFICIARIES — 1-YEAR LIMITATIONS PERIOD UNDER D.C. CODE § 19-1310.05

This report, together with its schedules and attachments, is intended to and does adequately disclose to you the trust property, liabilities, receipts, disbursements, distributions, the source and amount of the trustee's compensation, and the listing and market values of the trust assets for the reporting period stated above. Any transaction or matter reflected in this report that could give rise to a claim against the Trustee for breach of trust is disclosed by, or fairly inferable from, the information set forth in this report.

PURSUANT TO D.C. CODE § 19-1310.05(a), YOU MAY NOT COMMENCE A PROCEEDING AGAINST THE TRUSTEE FOR BREACH OF TRUST MORE THAN ONE (1) YEAR AFTER THE DATE THIS REPORT WAS SENT TO YOU. A REPORT ADEQUATELY DISCLOSES THE EXISTENCE OF A POTENTIAL CLAIM FOR BREACH OF TRUST IF IT PROVIDES SUFFICIENT INFORMATION SO THAT YOU KNOW OF THE POTENTIAL CLAIM OR SHOULD HAVE INQUIRED INTO ITS EXISTENCE.

Date this report was sent: [__/__/____]

Last day to commence a proceeding for breach of trust based on matters disclosed by this report: [__/__/____]

XIII. BENEFICIARY OBJECTION MECHANISM — DC SUPERIOR COURT, PROBATE DIVISION

A beneficiary who objects to any item in this report, or who wishes to assert a claim against the Trustee for breach of trust, may:

1. Submit a written objection to the Trustee at the address in Section II within [____] days of receipt of this report. This informal step does not extend, shorten, or substitute for the 1-year statutory limitations period stated in Section XII; and/or

2. File a petition in the Superior Court of the District of Columbia, Probate Division, which has jurisdiction over the administration of the Trust under the DC Uniform Trust Code, including without limitation: petitions to compel the Trustee to redress a breach of trust by paying money, restoring property, or by other means (D.C. Code § 19-1310.01); petitions for damages (§ 19-1310.02); petitions for attorney's fees and costs (§ 19-1310.04); and petitions for removal of the Trustee (§ 19-1307.06).

Trustee Contact for Objections / Inquiries:

XIV. OPTIONAL — BENEFICIARY RECEIPT AND RELEASE (D.C. Code § 19-1310.09)

I, the undersigned beneficiary, acknowledge that I have received and reviewed the foregoing Annual Trustee's Report and its schedules, that I have had a reasonable opportunity to inquire about the matters reflected therein, that I have knowledge of my rights under the DC Uniform Trust Code and of the material facts relating to the administration of the Trust during the reporting period, and that I freely and voluntarily:

1. Approve and ratify the acts of the Trustee as reflected in this report;
2. Release and discharge the Trustee from any and all claims, demands, and causes of action arising from any matter adequately disclosed by this report; and
3. Acknowledge that this Receipt and Release is given pursuant to D.C. Code § 19-1310.09.

Beneficiary Signature: [________________________________]

Print Name: [________________________________]

Date: [__/__/____]

XV. TRUSTEE VERIFICATION AND SIGNATURE

I, the undersigned Trustee, declare under penalty of perjury under the laws of the District of Columbia:

1. I have reviewed the foregoing Annual Trustee's Report and each schedule attached;
2. The information set forth is true, correct, and complete to the best of my knowledge, based on the books, records, and supporting documentation of the Trust;
3. All material trust property, liabilities, receipts, disbursements, distributions, the source and amount of trustee compensation, and the listing of trust assets and market values (where feasible) for the reporting period are disclosed; and
4. This report is furnished pursuant to D.C. Code § 19-1308.13(c).

Executed on [__/__/____] at [____________________], District of Columbia.

Trustee Signature: [________________________________]

Print Name: [________________________________]

Capacity: [________________________________]

XVI. PROOF OF SERVICE

I, the undersigned, declare that I am over the age of 18 years and not a party to this matter. My business or residence address is set forth below. On [__/__/____], I served the foregoing ANNUAL TRUSTEE'S REPORT on each beneficiary identified in Section III by placing a true copy in a sealed envelope addressed to each such beneficiary at the address set forth in Section III, with postage thereon fully prepaid, and depositing the envelope in the United States Mail at [____________________], District of Columbia (certified mail, return receipt requested, recommended), OR by personal delivery as indicated.

I declare under penalty of perjury under the laws of the District of Columbia that the foregoing is true and correct.

Date: [__/__/____]

Signature: [________________________________]

Print Name: [________________________________]

Address: [________________________________]

SOURCES AND REFERENCES

• D.C. Code § 19-1301.05 (Default and mandatory rules) — https://code.dccouncil.gov/us/dc/council/code/sections/19-1301.05
• D.C. Code § 19-1308.13 (Duty to inform and report) — https://code.dccouncil.gov/us/dc/council/code/sections/19-1308.13
• D.C. Code § 19-1310.05 (Limitation of action against trustee) — https://code.dccouncil.gov/us/dc/council/code/sections/19-1310.05
• D.C. Code § 19-1310.08 (Exculpation of trustee) — https://code.dccouncil.gov/us/dc/council/code/sections/19-1310.08
• D.C. Code § 19-1310.09 (Beneficiary's consent, release, or ratification) — https://code.dccouncil.gov/us/dc/council/code/sections/19-1310.09
• Superior Court of the District of Columbia, Probate Division — https://www.dccourts.gov/superior-court/probate-division
• Superior Court Rules of the Probate Division (SCR-PD) — https://www.dccourts.gov/sites/default/files/superior-rules/Superior_Court_Rules_Probate_Division_Effective_20220822.pdf
• District of Columbia Qualified Dispositions in Trust Act of 1992 (first U.S. DAPT statute, predating Alaska 1997).