Annual Trust Accounting and Trustee's Report (Wyoming Uniform Trust Code § 4-10-813(c))

ANNUAL TRUST ACCOUNTING AND TRUSTEE'S REPORT

Pursuant to Wyoming Statutes § 4-10-813(c)

I. TRUST IDENTIFICATION

II. TRUSTEE IDENTIFICATION

III. QUALIFIED BENEFICIARIES RECEIVING THIS REPORT (§§ 4-10-103(a)(xv), 4-10-813(c))

Before sending, check the trust's revocability and the settlor's capacity under § 4-10-603(a), any beneficiary waiver under § 4-10-813(d), and whether the trustee has elected the pre-July 1, 2003 exception in § 4-10-813(e). Record any applicable basis and its supporting document here: [________________________________].

Check the applicable category in § 4-10-103(a)(xv), in order: (A) a person currently entitled to mandatory distributions or with a vested residuary remainder not subject to divestment; (B) if no (A) beneficiary, a vested residuary remainder subject to divestment only by death; (C) if no (A) or (B) beneficiary, a current discretionary beneficiary who has received a distribution; (D) if no (A), (B), or (C) beneficiary, a current discretionary beneficiary; and (E) the Department of Health for the specified statutory trusts.

IV. SUMMARY OF ACCOUNT

For this reconciliation, a sale of a trust asset and receipt of its proceeds are an internal exchange. List the sale in Section V, but do not count the full proceeds as a new contribution; include only the net gain or loss once. Reconcile the ending value to the assets and liabilities listed below.

V. SCHEDULE OF RECEIPTS (§ 4-10-813(c) — receipts)

A. Income Receipts

B. Principal Receipts

VI. SCHEDULE OF DISBURSEMENTS (§ 4-10-813(c) — disbursements)

A. Ordinary Administration Expenses

B. Distributions to Beneficiaries

C. Taxes

VII. STATEMENT OF ASSETS — BEGINNING OF PERIOD (As of [__/__/____])

VIII. STATEMENT OF ASSETS — END OF PERIOD (§ 4-10-813(c) — listing of trust assets and, if feasible, market values) (As of [__/__/____])

☐ Market values are reported where feasible. Items for which a reliable market value is not feasible are denoted "[NMF]" with an accompanying explanation in Section XII.

IX. STATEMENT OF LIABILITIES (§ 4-10-813(c) — liabilities)

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

X. ALLOCATION BETWEEN INCOME AND PRINCIPAL (§ 4-10-813(c))

☐ All allocations follow the trust terms and, where those terms do not control, the Wyoming Uniform Principal and Income Act (Wyo. Stat. §§ 2-3-801, 2-3-803) without a discretionary adjustment.

☐ The following discretionary adjustments were made under an identified trust power or, if applicable, the conditions in Wyo. Stat. § 2-3-804 (state the authority and reasons):

[____________________________________________________________]

XI. TRUSTEE COMPENSATION AND AGENTS (§ 4-10-813(c) — trustee compensation; § 4-10-802 — duty of loyalty)

A. Trustee Compensation

B. Agents Hired by Trustee

C. Related-Party Transactions (§ 4-10-802)

☐ The Trustee did not engage in any transaction during the accounting 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 disclosed above.

☐ The following related-party transactions occurred and are fully disclosed for beneficiary review:

[____________________________________________________________]

XII. NARRATIVE OF MATERIAL EVENTS AND TRUSTEE ACTIONS

The following material events, decisions, and transactions occurred during the accounting period:

[____________________________________________________________]

[____________________________________________________________]

[____________________________________________________________]

XIII. LIMITATION OF ACTION NOTICE (§ 4-10-1005)

NOTICE TO BENEFICIARIES — LIMITATION OF ACTION

Under Wyoming Statutes § 4-10-1005(a), a beneficiary may not commence a proceeding against a fiduciary for breach of trust more than TWO (2) YEARS after the beneficiary or representative received a report that adequately disclosed the potential claim and informed the beneficiary of the time allowed to sue. Adequate disclosure depends on whether the report gives enough information for the beneficiary or representative to know of the potential claim or inquire into it. Receipt of this Report alone does not establish that the two-year period has begun for every possible claim. Wyo. Stat. § 4-10-1005(b).

If Wyo. Stat. § 4-10-1005(a) does not apply for any reason, then under Wyo. Stat. § 4-10-1005(c), a judicial proceeding by a beneficiary against the Trustee for breach of trust must be commenced within THREE (3) YEARS after the first of: (i) the removal, resignation, or death of the Trustee; (ii) the termination of your interest in the Trust; or (iii) the termination of the Trust.

XIV. BENEFICIARY OBJECTION MECHANISM

A beneficiary who has questions or objections to any item in this Report may contact the Trustee at the address in Section II. The optional response date requested by the Trustee is [__/__/____]. This request does not replace the statutory periods described in Section XIII.

For a dispute that is not resolved informally, the beneficiary may seek independent advice about available court and nonjudicial remedies. This Report is an out-of-court accounting, not a court filing.

Trustee Contact for Objections / Inquiries:

XV. OPTIONAL — ACKNOWLEDGMENT OF RECEIPT

The undersigned acknowledges receipt of this Annual Trust Accounting and Trustee's Report for the accounting period from [__/__/____] through [__/__/____], including the schedules and the narrative in Section XII. This signature records receipt only. It does not approve the accounting or consent to, release, or ratify any trustee conduct.

Beneficiary Signature: [________________________________]

Print Name: [________________________________]

Date: [__/__/____]

XVI. TRUSTEE VERIFICATION AND SIGNATURE

I, the undersigned Trustee, certify:

1. I have reviewed the foregoing Annual Trust Accounting and 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 receipts, disbursements, assets, liabilities, trustee compensation, agents (including any related-party agents), and material events for the accounting period stated above are disclosed; and
4. This Report is furnished pursuant to Wyo. Stat. § 4-10-813(c).

Executed on [__/__/____] at [____________________], Wyoming.

Trustee Signature: [________________________________]

Print Name: [________________________________]

Capacity: [________________________________]

XVII. DELIVERY RECORD

I sent or delivered this Annual Trust Accounting and Trustee's Report to the recipients in Section III using a method reasonably suitable to result in receipt under Wyo. Stat. § 4-10-109(a). The method used was [FIRST-CLASS MAIL / PERSONAL DELIVERY / PROPERLY DIRECTED ELECTRONIC MESSAGE / OTHER: ______] to [DELIVERY ADDRESSES]. The date sent or delivered was [__/__/____]. Delivery or receipt confirmation, if available, is [________________________________]. Any returned or failed delivery was addressed by [________________________________].

Date: [__/__/____]

Signature: [________________________________]

Print Name: [________________________________]

Address: [________________________________]

SOURCES AND REFERENCES

• Wyoming Legislature, current Title 4 Uniform Trust Code compilation
• Wyoming Legislature, current Title 2 principal and income statutes