Name of Person Filing: Street Address: City, State, Zip Code: Telephone Number: Email Address: ATLAS Number (if applicable) Representing Self (No Attorney) If Attorney, Bar Number: or Represented by Attorney SUPERIOR COURT OF ARIZONA PINAL COUNTY In the Matter of the Estate of CASE NUMBER: PB INVENTORY AND APPRAISEMENT AND PROOF OF MAILING an Adult a Minor (deceased) ) )ss. STATE OF ARIZONA County of Pinal I am the Personal Representative for the person who died and I state under oath as follows: 1. 2. 3. TRUE AND CORRECT STATEMENT: The following inventory of property is a true and correct statement of all property known to me to be owned by the person who died at his or her death. TOTAL ESTIMATED VALUE: The total estimated 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) Name Address Relationship to Person who Died Date Mailed or Delivered 4. Signature SUBSCRIBED AND SWORN TO before me this My Commission Expires: Page 1 of 3 Print Name day of By (Deputy Clerk / Notary Public) PB_IAPM_COSCPinal_12.12.11 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com 20 INVENTORY AND APPRAISEMENT OF PROPERTY IN ESTATE (Use additional sheets of paper if necessary) Inventory date: _________________________ REAL PROPERTY A. General Information: Property Description And Address 1. 2. 3. 4. 5. 6. 7. 8. Community OR Separate Property Estimated Value in Dollars Dollars of Debt TOTAL ESTIMATED FAIR MARKET VALUE OF REAL PROPERTY: $_______________ TOTAL ESTIMATED DEBT ON REAL PROPERTY: $_______________ B. Information About Real Property Items Listed Above That Were Appraised: Name Address Item Number Above Page 2 of 3 PB_IAPM_COSCPinal_12.12.11 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com PERSONAL PROPERTY A. General Information: Property Description 1. 2. 3. 4. 5. 6. 7. 8. 9. Community OR Separate Property Estimated Value in Dollars Dollars of Debt TOTAL ESTIMATED FAIR MARKET VALUE OF PERSONAL PROPERTY: $_______________ TOTAL ESTIMATED DEBT ON PERSONAL PROPERTY: $________________ B. Information About Personal Property Items Listed Above That Were Appraised: Name Address Item Number Above Page 3 of 3 PB_IAPM_COSCPinal_12.12.11 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com