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Hi,  It depends on the case, but accountings are very important.   In addition to being sent to the grantor or beneficiary, the accounting can be sent to the CPA or attorney to be reviewed.  In my state there is the licensing bureau who will research any complaint.  Of course, if it is a court supervised case, the court will make sure the fiduciary is carrying out responsibilities appropriately. If the fiduciary is not acting responsibly the court will remove them and if affects their license.  In order to be a licensed fiduciary the proposed fiduciary has to go through thorough background checks.  If the fiduicuary is found to have lied about a something (criminal) in their past their license will be removed.