FINAL ACCOUNT AND PETITION FOR DISTRIBUTION AND DISCHARGE

COURT INFORMATION

State of: [________________________________]

County of: [________________________________]

Court: [☐ Probate Court ☐ Surrogate's Court ☐ Superior Court ☐ Circuit Court]

Case Number: [________________________________]

IN THE MATTER OF THE ESTATE OF:

Decedent's Full Legal Name: [________________________________]

Also Known As: [________________________________]

DECEASED

ADMINISTRATION SUMMARY

Date of Death: [__/__/____]

Date Letters Issued: [__/__/____]

Accounting Period:
From: [__/__/____] (Date of Death)
To: [__/__/____] (Present)

Personal Representative:
Name: [________________________________]
Address: [________________________________]
Telephone: [(___)___-____]

Attorney for Personal Representative:
Name: [________________________________]
Firm: [________________________________]
Address: [________________________________]
Telephone: [(___)___-____]

PART I: FINAL SUMMARY OF ACCOUNT

PART II: COMPLETE ACCOUNTING

SCHEDULE A: INVENTORY AND ADDITIONAL ASSETS

A-1: Original Inventory

Original Inventory Total: $[____________]

A-2: Additional Assets Discovered After Inventory

Additional Assets Total: $[____________]

SCHEDULE A TOTAL: $[________________________________]

SCHEDULE B: ALL RECEIPTS DURING ADMINISTRATION

B-1: Income Received

Income Subtotal: $[____________]

B-2: Sales of Assets

Net Sales Proceeds: $[____________]
Net Gain/(Loss): $[____________]

B-3: Collections and Other Receipts

Collections Subtotal: $[____________]

SCHEDULE B TOTAL: $[________________________________]

SCHEDULE C: ALL DISBURSEMENTS DURING ADMINISTRATION

C-1: Funeral and Last Illness

Funeral/Last Illness Subtotal: $[____________]

C-2: Administration Expenses

Administration Expenses Subtotal: $[____________]

C-3: Debts and Creditor Claims Paid

Debts/Claims Subtotal: $[____________]

C-4: Taxes Paid

Taxes Subtotal: $[____________]

C-5: Property Expenses

Property Expenses Subtotal: $[____________]

C-6: Personal Representative Compensation

[// GUIDANCE: Include basis for calculation per state statutory formula]

PR Compensation Subtotal: $[____________]

C-7: Attorney Fees and Costs

Attorney Fees/Costs Subtotal: $[____________]

C-8: Prior Distributions to Beneficiaries

Prior Distributions Subtotal: $[____________]

SCHEDULE C TOTAL: $[________________________________]

SCHEDULE D: ASSETS ON HAND FOR DISTRIBUTION

SCHEDULE D TOTAL (Available for Distribution): $[________________________________]

PART III: PROPOSED DISTRIBUTION

Proposed Distribution Plan

[// GUIDANCE: Distribution must follow will terms or intestacy statutes]

Distribution Details

Specific Bequests:
- [Beneficiary]: [Description of specific bequest from will]
- [Beneficiary]: [Description of specific bequest from will]

General Bequests:
- [Beneficiary]: $[amount] per will/intestacy

Residuary Distribution:
The residue of the estate shall be distributed as follows:
- [Beneficiary]: [___]% = $[____________]
- [Beneficiary]: [___]% = $[____________]

PART IV: RESERVE FOR CONTINGENCIES

[// GUIDANCE: Retain funds for potential tax adjustments, unknown claims, or closing costs]

☐ No reserve requested

☐ Reserve requested in the amount of: $[____________]

Purpose of reserve:
☐ Potential tax adjustments
☐ Pending claims
☐ Closing costs
☐ Other: [________________________________]

Distribution after reserve: $[____________]

PART V: REPORT OF ADMINISTRATION

Administration Narrative

The Personal Representative reports:

1. Will and Probate: The Decedent's Will dated [__/__/____] was admitted to probate on [__/__/____]. [OR: The Decedent died intestate and Letters of Administration were issued on [__/__/____].]

2. Inventory: An inventory was filed on [__/__/____] showing total assets of $[____________].

3. Creditors: Notice to creditors was published on [__/__/____]. The claim period expired on [__/__/____]. [Number] claims were filed totaling $[____________]. All valid claims have been paid.

4. Taxes: All required tax returns have been filed:
   ☐ Decedent's final federal and state income tax returns
   ☐ Estate federal income tax returns (Form 1041)
   ☐ Federal estate tax return (Form 706) - [if applicable]
   ☐ State estate/inheritance tax returns - [if applicable]

5. Tax Clearances:
   ☐ Federal estate tax closing letter received: [__/__/____]
   ☐ State tax clearance received: [__/__/____]
   ☐ No estate tax filing required

6. Litigation: [No litigation occurred during administration / Describe any litigation]

7. Special Matters: [Describe any unusual circumstances]

PART VI: REQUEST FOR APPROVAL AND DISCHARGE

The Personal Representative respectfully requests that this Court:

☐ Approve this Final Account as a true and accurate statement of the administration of this Estate.

☐ Approve the proposed distribution to the beneficiaries as set forth herein.

☐ Approve compensation to the Personal Representative in the amount of $[____________].

☐ Approve attorney fees in the amount of $[____________].

☐ Authorize reserve in the amount of $[____________] for [purpose].

☐ Discharge the Personal Representative from further liability upon completion of distribution and filing of receipts.

☐ Release the bond (if applicable).

☐ Close the Estate and terminate administration.

PART VII: WAIVER OF ACCOUNTING (if applicable)

[// GUIDANCE: Some jurisdictions allow waiver of formal accounting if all beneficiaries consent]

☐ All beneficiaries have waived the requirement for a formal accounting

☐ The following beneficiaries consent to this accounting and waive objection:

PART VIII: VERIFICATION

I, [PERSONAL REPRESENTATIVE NAME], the [Executor/Administrator/Personal Representative] of this Estate, declare under penalty of perjury under the laws of the State of [STATE] that:

1. I have read this Final Account and Report and know its contents.

2. All statements are true and correct to the best of my knowledge.

3. All receipts and disbursements are accurately and completely stated.

4. All assets have been accounted for and are on hand or have been properly distributed.

5. All valid debts and claims have been paid.

6. All required tax returns have been filed and taxes paid.

7. The proposed distribution is in accordance with the Will [or laws of intestacy].

Executed on [DATE] at [CITY], [STATE].

_________________________________
[Personal Representative Signature]

_________________________________
[Printed Name]

NOTICE OF HEARING

A hearing on this Final Account and Petition for Distribution will be held:

Date: [__/__/____]
Time: [____:____ AM/PM]
Location: [________________________________]
Department/Courtroom: [________________________________]

PROOF OF SERVICE

Notice of this Final Account was served on all interested parties as follows:

ATTACHMENTS

☐ All bank statements for accounting period
☐ Investment account statements
☐ Tax returns filed (or confirmation of filing)
☐ Estate tax closing letter (if applicable)
☐ Creditor claim documentation
☐ Receipts for significant disbursements
☐ Attorney fee declaration/time records
☐ PR compensation calculation
☐ Beneficiary waivers/consents
☐ Prior court orders
☐ Other: [________________________________]

END OF FINAL ACCOUNT