IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File Number Division Deceased. INVENTORY (Ancillary) The undersigned ancillary personal representative of the Florida estate of , deceased, who died on , submits this inventory of all the property of the estate in Florida that has come into the hands, possession, or control of this personal representative: REAL ESTATE IN FLORIDA Description Estimated Fair Market Value Total Real Estate in Florida $ © Florida Lawyers Support Services, Inc. Bar Form No. P-3.0901 - 1 of 2 January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com PERSONAL PROPERTY IN FLORIDA Description Estimated Fair Market Value Total Personal Property TOTAL OF ALL FLORIDA ESTATE $ $ NOTICE: Each residuary beneficiary in a testate estate or heir in an intestate estate has the right to request a written explanation of how the inventory value of any asset was determined, including whether the personal representative obtained an independent appraisal for that asset and, if so, a copy of the appraisal. Any other beneficiary may request this information regarding all assets distributed to or proposed to be distributed to that beneficiary. Under penalties of perjury, I declare th the best of my knowledge and belief. Signed on this _______ day of __________________________, ________. Ancillary Personal Representative Attorney for Ancillary Personal Representative Email Addresses: _ Florida Bar No. (address) Telephone: Bar Form No. P-3.0901 - 2 of 2 January 1, 2017 [Print or Type Names Under All Signature Lines] © Florida Lawyers Support Services, Inc. American LegalNet, Inc. www.FormsWorkFlow.com