Transcription of COVER SHEET/ADMINISTRATION STA TE OF CONN EC TIC UT ...
1 COVER SHEET/ADMINISTRATION STATE OF CONNECTICUT ACCOUNT/DECEDENT S ESTATE COURT OF PROBATE PC-241 REV. 7/13 Page 1[Type or print in ink.] TO: COURT OF PROBATE, ESTATE OF , DECEASED FIDUCIARY S NAME POSITION OF TRUST The fiduciary here by exhi bits t his account to said court for allowance and represents t hat t he same is a true a nd complete account of all assets of the estate and the fi duciary s receipts, payments and distributions. The fi duciary represent s that: all claims a ll owed against said estate ha ve been fully paid; there are no claims now outstanding against the estate; a nd the re a re no heirs nor distri butees othe r t han those listed in the Petition for Administration or Probate of Will, or in the schedule of proposed distribution.
2 The fiduciary, the re fore, petitions for an ascertainment of heirs a nd distri butees a nd an order of distribution in accordance with the sche dule of proposed distribution attached hereto. [For simple estates, a Financial Report, PC-246, may be filed. For other estates, use this sheet for summation only and attach appropriate schedules. Attach Affidavit of Heirs, if required by the court.] $ THIS ACCOUNT CONSISTS OF PAGES. The r epresentations contained herein are made under the penalties of false statement.. Fiduciary: COVER SHEET/ADMINISTRATION ACCOUNT/DECEDENT S ESTATE PC-241 COVER SHEET/ADMINISTRATION STATE OF CONNECTICUT ACCOUNT/DECEDENT S ESTATE COURT OF PROBATE PC-241 REV.
3 7/13 Page 2 [Type or print in ink.] CERTIFICATION I certi fy that a copy of t his account was sent to t he following persons: Name and Address Signature of Fiduciary or Attorney for Fiduciary [Type or print name.] Date: COVER SHEET/ADMINISTRATION ACCOUNT/DECEDENT S ESTATE PC-241
