Annual Accounting Cover Sheet Purposes Only - VA loan · 2013-12-16 · Annual Accounting Cover...

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Annual Accounting Cover Sheet Fiduciary: Timothy P Bishop Veteran: Charles T. Valentine Accounting Period: 2/15/2007 – 2/15/2008 For Training Purposes Only

Transcript of Annual Accounting Cover Sheet Purposes Only - VA loan · 2013-12-16 · Annual Accounting Cover...

Page 1: Annual Accounting Cover Sheet Purposes Only - VA loan · 2013-12-16 · Annual Accounting Cover Sheet ... Christmas Allowance 500.00 Home Paint & Extra Paint 504.86 Car Insurance

AnnualAccountingCoverSheet 

Fiduciary:TimothyPBishop

Veteran:CharlesT.Valentine

AccountingPeriod:2/15/2007–2/15/2008

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AccountingForm

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NAME AND ADDRESS OF FIDUCIARY VA FIDUCIARY ACTIVITY

DESCRIPTION AMOUNT

$

ITEM1. MONEY RECEIVED

A

TOTAL ESTATE AT BEGINNING OF PERIOD

VA FORMMAR 2006

21-4706b

7. DATE

B

DEPENDENT(S)SUPPORT

FIDUCIARY FEE IF APPROVED BY VA

EXISTING STOCKS OF VA FORM 21-4706b, NOV 2002,WILL BE USED.

FROM TO

AMOUNTRECEIVEDFROMSOCIALSECURITY

MONTHLY AMT.

INTEREST EARNED ON DEPOSITS

AMOUNT RECEIVED FROM OTHER SOURCES(List in Items 1E thru 1H)

NO. OF MONTHS

AMOUNTRECEIVEDFROM VA C

D

E

F

(Continued on Reverse)

G

OMB Control No. 2900-0017Respondent Burden: 27 Minutes

FEDERAL FIDUCIARY'S ACCOUNT

NAME OF VETERAN (First-Middle-Last) NAME OF BENEFICIARY (If not veteran)

SECTION I - STATEMENT OF ACCOUNTINSTRUCTIONS: Items 1 through 7 are to be completed by the fiduciary and returned to the VA Fiduciary Activity. Show monthlyamount where indicated, in addition to amount for accounting period. Attach a completed Certification of Funds on Deposit, (VAForm 21-4718a) if this accounting shows any funds on deposit.IMPORTANT - SEE PRIVACY ACT INFORMATION ON REVERSE.

VA FILE NUMBERC-

ACCOUNTING PERIOD FROM TO

B

4. ASSETS AT END OF PERIOD*

H*TOTAL RECEIVED (ADD LINES 1A THRU 1H)I

DESCRIPTION AMOUNT

$

A$ CASH ON HAND (NOT ON DEPOSITIN BANK)

AMOUNT IN CHECKING ACCOUNTB

C

D

AMOUNT IN SAVINGS ACCOUNT

TOTAL PURCHASE PRICE OFSAVINGS BONDS LISTED ONREVERSE (Complete reverse for total inthis field)

IMPORTANT - The fiduciary should keep receipts and other documentation of expenses because VA may need to examine them during the audit of thisaccounting.

2. MONEY SPENTROOM ANDBOARD/RENT

A

$

C

D

OTHER (Specify)

E

F

J

GH

K

I

CLOTHINGENTERTAINMENT

PERSONALUSE

LM TOTAL SPENT (ADD LINES 2A THRU 2L)

$

3. TOTAL ESTATE AT END OF PERIOD (SUBTRACT 2M FROM 1I)

* NOTE: Pursuant to my signed Fiduciary Agreement (VA Form 21-4703), this is a complete accounting of all funds I received for the beneficiary.

$

I CERTIFY THAT this is a true account of the beneficiary's estate for the period stated, to the best of my knowledge and belief. 8. SUBMITTED BY (Signature and title of fiduciary)

9. DATE APPROVED 10. APPROVED BY (Signature and title of VA official)

(1) IF PURCHASE PRICE OF SAVINGS BONDS CHANGED FROM THE LAST ACCOUNTING PERIOD, WERE ADDITIONAL BONDS PURCHASED?

(2) WERE SAVINGS BONDS CASHED DURING THE ACCOUNTING PERIOD?

E OTHER (Specify)

5. TOTAL ASSETS (MUST EQUAL ITEM 3)

6. REMARKS (If needed you may continue in"Remarks" section on reverse or, if necessary, attachadditional sheets and key responses to item numbers.)

$

ITEM

MONTHLY AMT.

NO. OF MONTHS

NO. OF MONTHS

NO. OF MONTHS MONTHLY AMT.

MONTHLY AMT.

MONTHLY AMT.NO. OF MONTHS

NO. OF MONTHS

NO. OF MONTHS

MONTHLY AMT.

MONTHLY AMT.

YES NO

YES NO

Timothy P Bishop 646 Dragon Lane, Mistic, AN 22333

VARO 390, 1357 Town Street Washton, AN 22222

Charles T Valentine Same TRA249876

2/15/07 2/15/08

30,793.98

10 2,610.00 26,100.00

2 2,669.00 5,338.00

10 662.00 6,620.00

2 677.00 1,354.00

350.90

VA Retro Benefit

70,556.88

12 590.00 7,080.00

1,029.64 6,000.00

12 300.00 3,600.00

12 310.00 3,720.00 1,257.52

Water/Sewer 172.50Electric Bill 825.00Cable TV 1,154.00Phone Service 347.20New Vehicle with title & plate transfer fee 11,973.05SEE Remarks 2,450.86

39,609.77

30,947.11

5,234.81

25,712.30

30,947.11

2A - Mortgage Payment 2C - Groceries (12 months @ $500/month) 2E - Wife's medical insurance (265) and RX (45) 2L - Surety Bond 155.00 Christmas Allowance 500.00 Home Paint & Extra Paint 504.86 Car Insurance 792.00 Homeowners Insurance 499.00 Total for 2L 2,450.86

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6. REMARKS (Continued)

RESPONDENT BURDEN: We need this information to ensure proper administration of the beneficiary's estate. Title 38, United States Code allows us to ask for thisinformation. We estimate that you will need an average of 27 minutes to review the instructions, find the information, and complete this form. VA cannot conduct orsponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is notdisplayed. Valid OMB control numbers can be located on the OMB Internet Page at www.whitehouse.gov/library/omb/OMBINVC.html#VA. If desired, you can call1-800-827-1000 to get information on where to send comments or suggestions about this form.

PRIVACY ACT INFORMATION: The VA will not disclose information on the form to any source other than what has been authorized under the Privacy Act of 1974or Title 5, Code of Federal Regulations 1.526 for routine uses (i.e. request from Congressman on behalf of a beneficiary) as identified in the VA system of records,37VA27, VA Supervised Fiduciary/Beneficiary and General Investigative Records, and published in the Federal Register. Your obligation to respond is required toobtain or retain benefits. The information will be used to ensure the proper administration of the beneficiary's income and estate. Failure to furnish the requestedinformation may result in the suspension of payments and/or the appointment of a successor fiduciary.

SIGNATURE OF FIDUCIARY DATE

I CERTIFY THAT the savings bonds listed above are the property of the estate of the beneficiary and are in my custody and control.

SECTION II - CERTIFICATION OF U.S. SAVINGS BONDSLINENO.

2.

3.

20.

1.

SERIAL NUMBER DATE OFPURCHASE

4.

5.

6.

7.

8.

9.

LINENO.

10.

PURCHASEPRICE

SERIAL NUMBER DATE OFPURCHASE

PURCHASEPRICE

11.

12.

13.

14.

15.

16.

17.

18.

19.

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Receipts

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Make all checks payable to BAILEY’S TOYOTA Bailey’s Toyota, 8739 Dragon Street, Mistic, AN 22333 Phone (555) 555-5555 Fax (555) 555-5555

Thank you for your business!

Make all checks payable to BAILEYS’ TOYOTA

Treat yourself to a really smooth ride! PURCHASE ORDER

Date: October 25, 2007

To Date: October 25, 2007 INVOICE # [100]

Charles & Susan Valentine

486 Wizard Trail

Mistic, AN 22333

(555) 555-5555

Salesperson Payment Terms Due Date

Slick Due on Delivery

Qty Description Unit Price Line Total

1

2007 Toyota Camry SE 2.4L, 4CYLS Automatic 5-Speed Titanium Metalic with Black Interior Mileage - 16

14,994.00 14,994.00

Trade-in: 1999 Toyota Camry

-5,500.00 -5,500.00

Subtotal 9,494.00

Sales Tax 4% 379.76

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Make all checks payable to BAILEY’S TOYOTA Bailey’s Toyota, 8739 Dragon Street, Mistic, AN 22333 Phone (555) 555-5555 Fax (555) 555-5555

Thank you for your business!

Make all checks payable to BAILEYS’ TOYOTA

Total 9,873.76

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Bob’s Interior Painting We make color come to life!

555 Hazy Lane Mistic, AN 22333 Phone (555) 555-5555 Fax (555) 555-5555

RECEIPT

DATE: JUNE 18, 2007

TO: Charles & Susan Valentine 486 Wizard Trail Mistic, AN 22333 (555) 555-5555

FOR: INTERIOR PAINT

DESCRIPTION AMOUNT

Paint Living Room, 2 Bedrooms, Bath, and Kitchen. Colors to be selected by client. Estimate includes 7 gallons of ValueRite Latex Interior Paint

$504.86

TOTAL $504.86

Make all checks payable to Bob’s Interior Painting Service If terms are accepted, payment is due upon completion of work.

Thank you for your business!

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Bank Statements - Checking

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 5,780.93 2007-02-01 Anystate Phone Company 220 27.85 5,753.08 2007-02-01 Darkhouse CATV 221 95.00 5,658.08 2007-02-01 Mistic Drug Store 222 45.00 5,613.08 2007-02-01 Mistic National Bank & Tru 223 590.00 5,023.08 2007-02-01 Susan Valentine 224 300.00 4,723.08 2007-02-01 Susan Valentine 225 500.00 4,223.08 2007-02-01 VA 2,610.00 6,833.08 2007-02-03 SS 662.00 7,495.08 2007-02-07 Rockin County Water Co 226 12.50 7,482.58 2007-02-12 Mistic Power & Light 227 65.00 7,417.58 2007-02-15 Timothy P Bishop 228 1,720.00 5,697.58 2007-02-06 Premier Health insureance 229 265.00 5,432.58

****Totals **** 3,620.35 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-02-01 2007-02-28

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 5,432.58 2007-03-01 DarkHouse CATV 230 95.00 5,337.58 2007-03-01 Susan Valentine 231 300.00 5,037.58 2007-03-01 VA 2,610.00 7,647.58 2007-03-01 Susan Valentine 232 500.00 7,147.58 2007-03-01 Mistic National Bank & Tru 233 590.00 6,557.58 2007-03-01 Mistic Drug Store 234 45.00 6,512.58 2007-03-01 Anystate Phone Company 235 27.85 6,484.73 2007-03-03 SS(turned over by Susan) 662.00 7,146.73 2007-03-06 Premier Health Insurance 236 265.00 6,881.73 2007-03-07 Eastern Surety 237 155.00 6,726.73 2007-03-07 Rockin County Water Co 238 12.50 6,714.23 2007-03-12 Mistic Power & Light 239 88.00 6,626.23 2007-03-28 Susan Valentine 240 252.20 6,374.03

****Totals **** 2,330.55 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-03-01 2007-03-31

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 6,374.03 2007-04-01 Darkhouse CATV 241 95.00 6,279.03 2007-04-01 Susan Valentine 242 300.00 5,979.03 2007-04-01 VA 2,610.00 8,589.03 2007-04-01 Susan Valentine 243 500.00 8,089.03 2007-04-01 Mistic National Bank & Tru 244 590.00 7,499.03 2007-04-01 Mistic Drug Store 245 45.00 7,454.03 2007-04-01 Anystate Phone Company 246 27.85 7,426.18 2007-04-03 SS(turned over by Susan) 662.00 8,088.18 2007-04-06 Premier Health Insurance 247 265.00 7,823.18 2007-04-07 Rockin County Water Co. 248 12.50 7,810.68 2007-04-12 Mistic Power & Light 249 67.00 7,743.68

****Totals **** 1,902.35 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-04-01 2007-04-30

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 7,743.68 2007-05-01 Darkhouse CATV 250 95.00 7,648.68 2007-05-01 Susan Valentine 251 300.00 7,348.68 2007-05-01 Anystate Insurance 252 499.00 6,849.68 2007-05-01 VA 2,610.00 9,459.68 2007-05-01 Susan Valentine 253 500.00 8,959.68 2007-05-01 Mistic National Bank & Tru 254 590.00 8,369.68 2007-05-01 Mistic Drug Store 255 45.00 8,324.68 2007-05-01 Anystate Phone Company 256 29.15 8,295.53 2007-05-01 Anystate Insurance 257 792.00 7,503.53 2007-05-03 SS(first check as Payee) 662.00 8,165.53 2007-05-06 Premier Health Insurance 258 265.00 7,900.53 2007-05-07 Rockin County Water Co 259 14.75 7,885.78 2007-05-12 Mistic Power & Light 260 67.00 7,818.78 2007-05-30 Susan Valentine 261 256.99 7,561.79

****Totals **** 3,453.89 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-05-01 2007-05-30

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 7,561.79 2007-06-01 Darkhouse CATV 262 95.00 7,466.79 2007-06-01 Susan Valentine 263 300.00 7,166.79 2007-06-01 VA 2,610.00 9,776.79 2007-06-01 Susan Valentine 264 500.00 9,276.79 2007-06-01 Mistic National Bank & Tru 265 590.00 8,686.79 2007-06-01 Mistic Drug Store 266 45.00 8,641.79 2007-06-01 Anystate Phone Company 267 29.15 8,612.64 2007-06-03 SS 662.00 9,274.64 2007-06-06 Premier Health Insurance 265.00 9,009.64 2007-06-07 Rocking County Water Co 269 14.75 8,994.89 2007-06-12 Mistic Power & Light 270 67.00 8,927.89

****Totals **** 1,905.90 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-06-01 2007-06-30

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 8,927.89 2007-07-01 Darkhouse CATV 271 95.00 8,832.89 2007-07-01 Susan Valentine 272 300.00 8,532.89 2007-07-01 VA 2,610.00 11,142.89 2007-07-01 Susan Valentine 273 500.00 10,642.89 2007-07-01 Mistic National Bank & Tru 274 590.00 10,052.89 2007-07-01 Mistic Drug Store 275 45.00 10,007.89 2007-07-01 Anystate Phone Company 276 29.15 9,978.74 2007-07-03 SS 662.00 10,640.74 2007-07-06 Premier Health Insurance 277 265.00 10,375.74 2007-07-07 Rockin County Water Co 278 14.75 10,360.99 2007-07-10 Bob's Interior Painting 279 475.00 9,885.99 2007-07-12 Bob's Interior Painting 280 29.86 9,856.13 2007-07-12 Mistic Power & Light 281 67.00 9,789.13

****Totals **** 2,410.76 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-07-01 2007-07-31

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 9,789.13 2007-08-01 Darkhouse CATV 282 97.00 9,692.13 2007-08-01 Susan Valentine 283 300.00 9,392.13 2007-08-01 VA 2,610.00 12,002.13 2007-08-01 Susan Valentine 284 500.00 11,502.13 2007-08-01 Mistic National Bank & Tru 285 590.00 10,912.13 2007-08-01 Mistic Drug Store 286 45.00 10,867.13 2007-08-01 Anystate Phone Company 287 29.15 10,837.98 2007-08-03 SS 662.00 11,499.98 2007-08-06 Premier Health Insurance 288 265.00 11,234.98 2007-08-07 Rockin County Water Co 289 14.75 11,220.23 2007-08-09 Susan Valentine 290 244.49 10,975.74 2007-08-12 Mistic Power & Light 291 67.00 10,908.74

****Totals **** 2,152.39 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-08-01 2007-08-31

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 10,908.74 2007-09-01 Darkhouse CATV 292 97.00 10,811.74 2007-09-01 Susan Valentine 293 300.00 10,511.74 2007-09-01 VA 2,610.00 13,121.74 2007-09-01 Susan Valentine 294 500.00 12,621.74 2007-09-01 Mistic National Bank & Tru 295 590.00 12,031.74 2007-09-01 Mistic Drug Store 296 45.00 11,986.74 2007-09-01 Anystate Phone Company 297 29.15 11,957.59 2007-09-03 SS 662.00 12,619.59 2007-09-06 Premier Health Insurance 298 265.00 12,354.59 2007-09-07 Rockin County Water Co 299 14.75 12,339.84 2007-09-12 Mistic Power & Light 300 67.00 12,272.84

****Totals **** 1,907.90 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-09-01 2007-09-30

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 12,272.84 2007-10-01 Darkhouse CATV 301 97.00 12,175.84 2007-10-01 Susan Valentine 302 300.00 11,875.84 2007-10-01 VA 2,610.00 14,485.84 2007-10-01 Susan Valentine 303 500.00 13,985.84 2007-10-01 Mistic National Bank & Tru 304 590.00 13,395.84 2007-10-01 Mistic Drug Store 305 45.00 13,350.84 2007-10-01 Anystate Phone Company 306 29.15 13,321.69 2007-10-03 SS 662.00 13,983.69 2007-10-06 Premier Health Insurance 307 265.00 13,718.69 2007-10-07 Rocking County Water Co 308 14.75 13,703.94 2007-10-12 Mistic Power & Light 309 67.00 13,636.94 2007-10-30 Mistic Valley Toyota 310 11,334.80 2,302.14

****Totals **** 13,242.70 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-10-01 2007-10-31

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 2,302.14 2007-11-01 Darkhouse CATV 311 97.00 2,205.14 2007-11-01 Susan Valentine 312 300.00 1,905.14 2007-11-01 VA 2,610.00 4,515.14 2007-11-01 Susan Valentine 313 500.00 4,015.14 2007-11-01 Mistic National Bank & Tru 314 590.00 3,425.14 2007-11-01 Mistic Drug Store 315 45.00 3,380.14 2007-11-01 Anystate Phone Company 316 29.15 3,350.99 2007-11-03 SS 662.00 4,012.99 2007-11-05 Rocking County BMV 317 638.25 3,374.74 2007-11-06 Premier Health Insurance 318 265.00 3,109.74 2007-11-07 Rockin County Water Co 319 14.75 3,094.99 2007-11-12 Mistic Power & Light 320 67.00 3,027.99

****Totals **** 2,546.15 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-11-01 2007-11-30

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 3,027.99 2007-12-01 Darkhouse 321 97.00 2,930.99 2007-12-01 Susan Valentine 322 300.00 2,630.99 2007-12-01 VA 2,610.00 5,240.99 2007-12-01 Susan Valentine 323 500.00 4,740.99 2007-12-01 Mistic National Bank & Tru 324 590.00 4,150.99 2007-12-01 Mistic Drug Store 325 45.00 4,105.99 2007-12-01 Anystate Phone Company 326 29.15 4,076.84 2007-12-03 SS 662.00 4,738.84 2007-12-06 Premier Health Insurance 327 265.00 4,473.84 2007-12-06 Susan Valentine 328 275.96 4,197.88 2007-12-07 Rockin County Water Co 329 14.75 4,183.13 2007-12-12 Mistic Power & Light 330 67.00 4,116.13 2007-12-15 Charles& Susan Valentine 331 500.00 3,616.13

****Totals **** 2,683.86 3,272.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2007-12-01 2007-12-31

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 3,616.13 2008-01-01 Darkhouse CATV 332 97.00 3,519.13 2008-01-01 Susan Valentine 333 300.00 3,219.13 2008-01-01 VA 2,669.00 5,888.13 2008-01-01 Susan Valentine 334 500.00 5,388.13 2008-01-01 Mistic National Bank & Tru 335 590.00 4,798.13 2008-01-01 Mistic Drug Store 336 45.00 4,753.13 2008-01-01 Anystate Phone Company 337 29.15 4,723.98 2008-01-03 SS 677.00 5,400.98 2008-01-06 Premier Health Insurance 338 265.00 5,135.98 2008-01-07 Rockin County Water Co 339 14.75 5,121.23 2008-01-12 Mistic Power & Light 340 67.00 5,054.23

****Totals **** 1,907.90 3,346.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2008-01-01 2008-01-31

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 5,054.23 2008-02-01 Darkhouse CATV 341 97.00 4,957.23 2008-02-01 Susan Valentine 342 300.00 4,657.23 2008-02-01 VA 2,669.00 7,326.23 2008-02-01 Susan Valentine 343 500.00 6,826.23 2008-02-01 Mistic National Bank & Tru 344 590.00 6,236.23 2008-02-01 Mistic Drug Store 345 45.00 6,191.23 2008-02-01 Anystate Phone Company 346 29.15 6,162.08 2008-02-03 SS 677.00 6,839.08 2008-02-06 Premier Health Insurance 347 265.00 6,574.08 2008-02-07 Rockin County Water Co 348 14.75 6,559.33 2008-02-12 Mistic Power & Light 349 67.00 6,492.33 2008-02-15 Timothy P. Bishop 350 1,257.52 5,234.81

****Totals **** 3,165.42 3,346.00

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2008-02-01 2008-02-28

Checking Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Bank Statements - Savings

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,361.40 2007-02-28 Interest 29.25 25,390.65

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2/1/2007 2/28/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,390.65 3/31/2007 Interest 29.25 25,419.90

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 3/1/2007 3/31/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,419.90 4/30/2007 Interest 29.25 25,449.15

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 4/1/2007 4/30/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,449.15 5/31/2007 Interest 29.25 25,478.40

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 5/1/2007 5/31/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,478.40 6/30/2007 Interest 29.25 25,507.65

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 6/1/2007 6/30/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,507.65 7/31/2007 Interest 29.25 25,536.90

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 7/1/2007 7/31/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,536.90 8/31/2007 Interest 29.25 25,566.15

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 8/1/2007 8/31/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,566.15 9/30/2007 Interest 29.25 25,595.40

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 9/1/2007 9/30/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,595.40 10/31/2007 Interest 29.25 25,624.65

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 10/1/2007 10/31/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,624.65 11/30/2007 Interest 29.25 25,653.90

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 11/1/2007 11/30/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,624.65 12/30/2007 Interest 29.25 25,653.90

****Totals **** 29.25

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 12/1/2007 12/30/2007 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,683.15 1/31/2008 Interest 29.15 25,712.30

****Totals **** 29.15

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 1/1/2008 1/31/2008 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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Date Description Ref. Withdrawals Deposits Balance

Name

Address

City State Zip Code

Statement Period Account No.to

Page: 1 of 1

Previous Balance 25,712.30 2/29/2008 Interest 29.15 25,741.45

****Totals **** 29.15

Valentine, Charles by Timothy P Bishop, Fiduciary

486 Wizard Trail

Mistic AN 22333 2/1/2008 2/29/2008 111222

Savings Account StatementRUNOVIA BANKP O BOX 54321BIGCITY, AN 12345-4321

Date Rec'd:

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