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Inventory Of Estate Form. This is a Arizona form and can be use in Coconino Local County.
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Tags: Inventory Of Estate, Arizona Local County, Coconino
(1) Person Filing:
Street Address:
City, State, Zip:
Phone Number:
Representing Self
SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO
In the Matter of the Guardianship and/or
Conservatorship of:
(2) Ward 1:
Ward 2:
Ward 3:
[ ] An Adult [ ] A Minor
(3) Case Number: GC
INVENTORY OF ESTATE
On the date the court appointed the conservator, the ward’s estate included the following, to the best of
my knowledge.
(19)
(20)
(21)
(22)
(23)
SUMMARY:
Total Non-Property Assets
Plus Total Property Assets
Minus Total Debts
Total Value of Estate
Estimated Value of Jointly Owned Assets
$
$
($
$
$
(8) Total Non-Property Assets:
Page 1 of 4
Revised March 2005
Owned Jointly
[]
$
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
NON-PROPERTY ASSETS:
(4) Cash:
(5) Bank and Other Accounts:
)
Value
$
$
$
$
$
$
$
$
$
$
$
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PROPERTY ASSETS:
(9) Real Estate:
LOCATION:
Legal Description:
LOCATION:
Legal Description:
(10) Household Goods:
Owned Jointly
Value
$
[]
$
[]
[]
[]
[]
[]
[]
$
$
$
$
$
$
[]
$
[]
$
[]
[]
[]
[]
(11) Motor Vehicles:
MAKE:
Model:
Lienholder:
Last four digits of VIN:
MAKE:
Model:
Lienholder:
Last four digits of VIN:
(12) Other Items:
[]
$
$
$
$
$
(13) Total Property Assets:
(14) DEBTS:
(15) Total Debts:
Page 2 of 4
Revised March 2005
Owed Jointly
[]
[]
[]
[]
[]
[]
[]
Amount
$
$
$
$
$
$
$
$
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(16) JOINT ASSETS OR DEBTS:
(17) DEBTS OWED TO THE WARD:
Other Party’s Name
Relationship
Debtor’s Name
Amount
(18) OTHER:
(24) CERTIFICATE OF DELIVERY: The conservator will mail or hand-deliver a copy of this Inventory
of Estate to the following on the date it is filed.
THE WARD OVER 13
NAME:
Street Address:
City, State, Zip:
THE WARD’S MOTHER
NAME:
Street Address:
City, State, Zip:
THEIR FATHER
NAME:
Street Address:
City, State, Zip:
THEIR ATTORNEY
NAME:
Street Address:
City, State, Zip:
THEIR GUARDIAN
NAME:
Street Address:
City, State, Zip:
NAME:
Street Address:
City, State, Zip:
Page 3 of 4
Revised March 2005
WARD 1
WARD 2
WARD 3
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(25)
Conservator’s Signature:
State of Arizona
County of
)
)
)
by:
Subscribed and sworn before me this date:
Seal:
Notary Public:
Notary Expiration Date:
Conservator’s Signature:
State of Arizona
County of
Subscribed and sworn before me this date:
Seal:
Page 4 of 4
Revised March 2005
)
)
)
by:
Notary Public:
Notary Expiration Date:
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