Conservator: Co-Conservator: Mailing Address: City, State, Zip: Phone Number: Representing Self COCONINO COUNTY SUPERIOR COURT In the Matter of the Guardianship and/or Conservatorship of: Ward 1: Ward 2: Ward 3: [ ] An Adult [ ] A Minor Case Number: GC INVENTORY OF ESTATE On the date the court appointed me conservator, the ward's estate included the following, to the best of my knowledge. Summary: Fill out this Summary section after you fill out the rest of the form. Enter the totals here as you listed them later on the form. Total A: Total Non-Property Assets Total B: Total Property Assets Total C: Total Debts $ plus + $ minus - $ Total Value of Estate: $ A+B­C Total D: Total Property Assets Owned Jointly Owned $ Page 1 of 5 Revised February 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library Non-Property Assets: Owned Jointly Cash: Bank Accounts and Other Accounts: Enter the bank or institution name and an account description like "savings" or "checking". [] [] [] [] [] [] Total A: Total Non-Property Assets: $ $ $ $ $ $ $ [] $ Value Property Assets: Owned Jointly Real Estate: Find real estate values on the County Assessor's Notice of Value. ADDRESS: Legal Description on the Deed: Value [] $ ADDRESS: Legal Description on the Deed: [] $ Household Goods: List furniture, jewelry, etc. Have valuable goods appraised. [] [] [] [] [] [] $ $ $ $ $ $ Page 2 of 5 Revised February 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library Owned Jointly Motor Vehicles: Find motor vehicle values in the Kelley Blue Book. MAKE: Model: Lienholder: Last four digits of VIN: MAKE: Model: Lienholder: Last four digits of VIN: Other Property Assets: [] [] [] [] Total B: Total Property Assets: Total D: Total Property Assets Owned Jointly Enter the total value of just the assets you checkmarked above as "owned jointly". $ $ $ $ $ Value [] $ [] $ $ Debts: Owed Jointly [] [] [] [] [] [] [] $ $ $ $ $ $ $ $ Amount Total C: Total Debts: Page 3 of 5 Revised February 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library Joint Assets Or Debts: Fill out this section for each asset or debt you checkmarked above as "owned jointly". Other Owner's Name Other Owner's Relationship to the Ward The Asset or Debt Debts Owed To The Ward: Debtor's Name Amount Other Funds: Describe any other fund the ward is a beneficiary to and you do not have access to. Certificate Of Delivery: I will mail or hand-deliver a copy of this Inventory of Estate to the following on the day I file it. Enter the name and address of 1) any ward over 13, 2) if the ward lives with a parent or guardian, the parent or guardian, and 3) the ward's attorney if they have one. WARD 1 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 4 of 5 Revised February 2017 American LegalNet, Inc. www.FormsWorkFlow.com WARD 2 WARD 3 © 2017 Coconino County Law Library Conservator's Signature: State of Arizona County of Subscribed and sworn before me this date: Seal: ) ) ) by: Notary Public: Notary Expiration Date: Co-Conservator's Signature: State of Arizona County of Subscribed and sworn before me this date: Seal: ) ) ) by: Notary Public: Notary Expiration Date: Page 5 of 5 Revised February 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library