SURROGATE'S COURT Report pursuant to 22 NYCRR 207.42
............ COUNTY
Estate of ............, Deceased
File No. ............
Date of issuance of first permanent letters ............
Approximate amount of gross estate ............
Approximate amount that has been distributed to beneficiaries ............
Approximate amount remaining in fiduciary's hands at present ............
This estate has not yet been fully distributed for the following reason: (state briefly)
............
............
............
............
Date of this report ............
Fiduciary
Address: ____________
Phone: ____________
Attorney for above Fiduciary
Address: ____________
Phone: ____________
N.Y. Comp. Codes R. & Regs. Tit. 22 § 207.42