700-00152 – Fiduciary’s Closing Report (04/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: FIDUCIARY’S CLOSING REPORT I hereby state under oath: 1. This report is filed within one year after the final decree in this proceeding. 2. I have paid and delivered the money and/or other property to the persons entitled to receive it. 3. I have filed a receipt for each payment and delivery or such other proof as required by the Court. I have attached an affidavit explaining the omission if I was unable to obtain the proof required. I hereby swear or affirm that the information in this report is true to the best of my knowledge and belief. Date Signature Printed Name Signed and sworn to before me: _____________________________________________________________________________ ORDER OF APPROVAL AND DISCHARGE The Fiduciary’s report is approved, and the proceeding closed. The Fiduciary is discharged. __________________________ _______________________________________ Dated Judge’s Signature Date Signature of Notary Public Expiration Date _______________________________________ Printed Name