Trustee's Account - Fairfield County Court of Common Pleas (Fillable)

Wrongful Death Trust Inter Vivos Trust Testamentary Trust Special Needs Trust Name of deceased or grantor Case number Account Account from date Account to date Prior balance Row 1 date Row 1 description Row 1 voucher number Row 1 amount Row 1 balance Row 2 date Row 2 description Row 2 voucher number Row 2 amount Row 2 balance Row 3 date Row 3 description Row 3 voucher number Row 3 amount Row 3 balance Row 4 date Row 4 description Row 4 voucher number Row 4 amount Row 4 balance Row 5 date Row 5 description Row 5 voucher number Row 5 amount Row 5 balance Row 6 date Row 6 description Row 6 voucher number Row 6 amount Row 6 balance Row 7 date Row 7 description Row 7 voucher number Row 7 amount Row 7 balance Row 8 date Row 8 description Row 8 voucher number Row 8 amount Row 8 balance Row 9 date Row 9 description Row 9 voucher number Row 9 amount Row 9 balance Row 10 date Row 10 description Row 10 voucher number Row 10 amount Row 10 balance Row 11 date Row 11 description Row 11 voucher number Row 11 amount Row 11 balance Row 12 date Row 12 description Row 12 voucher number Row 12 amount Row 12 balance Row 13 date Row 13 description Row 13 voucher number Row 13 amount Row 13 balance Row 14 date Row 14 description Row 14 voucher number Row 14 amount Row 14 balance Row 15 date Row 15 description Row 15 voucher number Row 15 amount Row 15 balance Row 16 date Row 16 description Row 16 voucher number Row 16 amount Row 16 balance Row 17 date Row 17 description Row 17 voucher number Row 17 amount Row 17 balance Row 18 date Row 18 description Row 18 voucher number Row 18 amount Row 18 balance Row 19 date Row 19 description Row 19 voucher number Row 19 amount Row 19 balance

Case number Total receipts Total disbursements Balance remaining Item 1 asset or investment Item 1 asset or investment amount Item 2 asset or investment Item 2 asset or investment amount Item 3 asset or investment Item 3 asset or investment amount Item 4 asset or investment Item 4 asset or investment amount Item 5 asset or investment Item 5 asset or investment amount Item 6 asset or investment Item 6 asset or investment amount Item 7 asset or investment Item 7 asset or investment amount Item 8 asset or investment Item 8 asset or investment amount Item 9 asset or investment Item 9 asset or investment amount Attorney name Attorney registration number Typed or printed Trustee name Trustee address line 1 Trustee address line 2 Hearing date Hearing time AM or PM Judge date