Name of Person Signing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorney’s Bar Number (if applicable): Self, Without a Lawyer, OR Represents Attorney for FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of an Adult Case Number: PB INVENTORY AND APPRAISEMENT OF PROPERTY AND PROOF OF MAILING OR DELIVERY OF INVENTORY AND APPRAISEMENT a Minor I am the Conservator for the above-named person and I state under oath or by affirmation as follows: 1. TRUE AND CORRECT STATEMENT. The following inventory of property is a true and correct statement of all the property known to me to be owned by the person named above at the time of my appointment. TOTAL VALUE. The total value of all real and personal property in the estate, as supported by the following itemization of property, is $ . DESCRIPTION OF PROPERTY AND DEBT. This document accurately describes each item of property, estimates the fair market value of the property as of the date of my appointment, describes the nature of the property as community or separate property, and itemizes the type and amount of all debts, mortgages, or liens relating to each item of property. NOTICE TO OTHER PARTIES. A copy of this document was hand-delivered or mailed by first class mail, postage prepaid, to the following persons: (Attach additional paper if necessary.) 2. 3. 4. Name Address Relationship to Protected Person Signature Date Sworn to or Affirmed before me; by (Date) Printed Name of Person Who Signed My Commission Expires : or Seal (below) ©Superior Court of Arizona in Maricopa County May 7, 2009 ALL RIGHTS RESERVED IAA Date Mailed or Delivered Deputy Clerk or Notary Public Page 1 of 3 PBGC91f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. INVENTORY AND APPRAISEMENT OF PROPERTY IN ESTATE (use additional sheets of paper if necessary) Inventory date: BANK ACCOUNTS, STOCKS, BONDS AND OTHER INVESTMENTS Community OR Separate Property Property Description Actual Value REAL PROPERTY A. GENERAL INFORMATION: Property Description and Address Community OR Separate Property Estimated Value in Dollars Dollars of Debt 1. 2. 3. 4. 5. Total estimated fair market value of real property: $ Total estimated debt on real property: $ ©Superior Court of Arizona in Maricopa County May 7, 2009 ALL RIGHTS RESERVED IAA Page 2 of 3 PBGC91f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. B. INFORMATION ABOUT REAL PROPERTY ITEMS LISTED ABOVE THAT WERE APPRAISED: Name Address Item Number Above PERSONAL PROPERTY A. GENERAL INFORMATION: Property Description Community OR Separate Property Estimated Value in Dollars Dollars of Debt 1. 2. 3. 4. 5. 6. 7. 8. 9. Total estimated fair market value of personal property: $ Total estimated debt on personal property: ©Superior Court of Arizona in Maricopa County May 7, 2009 ALL RIGHTS RESERVED IAA Page 3 of 3 $ PBGC91f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com