Schedules A and C, Receipts and Disbursements Worksheet—Standard Account

GC-400(A)(C)

Optional Worksheet.  Do Not File With Accounting

Form

Receipt Categories

Amount

Form

Disbursement 
Categories

Amount

GC-400(A)(1) 

Dividends

GC-400(C)(1)

Conservatee's caregiver expenses 

$

GC-400(A)(2) 

Interest

GC-400(C)(2)

Conservatee's residential or 

 

 

long-term care facility expenses

$

GC-400(A)(3) 

Pensions, annuities, 

and other regular periodic 

GC-400(C)(3)

Ward's education expenses

$

$

$

payments 

$

GC-400(A)(4)

Rent

$

GC-400(A)(5)

Social Security, veterans' 

benefits, and other public 

benefit payments 

$

GC-400(A)(6)

Other Receipts

$

GC-400(C)(4)

Fees of fiduciary and  attorney

$

GC-400(C)(5)

General administration expenses

$

GC-400(C)(6)

Investment Expenses

$

GC-400(C)(7)

Living expenses

$

GC-400(C)(8)

Medical expenses of conservatee 

or ward

$

GC-400(C)(9)

Property sale expenses

$

GC-400(C)(10)

Rental property expenses

$

GC-400(C)(11)

Other expenses

$

 

Total, Schedule A:

$

Total, Schedule C:

$

(Total Schedules A and C above. Carry the total sum of Schedule A over to line 3 of the Summary of Account 
(form GC-400(SUM)/GC-405(SUM)).  Carry the total sum of Schedule C over to line 8 of the Summary of 
Account.)

Form Approved for Optional Use 
Judicial Council of California
GC-400(A)(C) 
[New January 1, 2008]

SCHEDULES A AND C, RECEIPTS AND DISBURSEMENTS 
WORKSHEET—STANDARD ACCOUNT
(Probate—Guardianships and Conservatorships)

Page  1 of 1 

Probate Code, §§ 1060–1064, 2620;
Cal. Rules  of Court, rule 7.575 
www.courtinfo.ca.gov