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Inventory And Appraisement Form. This is a Missouri form and can be use in 21st Circuit (St. Louis County) Local Circuit Courts.
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Tags: Inventory And Appraisement, 3233A, Missouri Local Circuit Courts, 21st Circuit (St. Louis County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI
Plaintiff(s)
In the estate of
-against-
:
JUDICIAL SUBPOENA
:
:
___________________________________________________
No. ______________
Deceased/Disabled/Minor
:
Defendant(s)
___________________________________________________
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Personal .Representative/Conservator
...... .................
THE PEOPLE OF THE STATE OF NEW YORK
INVENTORY
AND APPRAISEMENT
(Please read carefully the inserted directions before filling out this form)
TO
The personal representative or conservator hereby makes and returns the following inventory and
appraisement of all of the property of the above named decedent or protectee, including exempt property,
which has come into the possession or knowledge of the personal representative or conservator, together
GREETINGS:
with a statement of all encumbrances, liens and other charges on any item, and all other property possessed
but not WE COMMAND YOU, thatprotectee. and excuses being laid aside, you and each of you attend before
owned by the decedent or all business
,
the Honorable
at the
Court
REAL PROPERTY
VALUE
located at
County of
in room (include, plat or survey descriptions and20
on the
day of
, street ,addresses)
at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Total Value Real Estate $
3233/A 8/00
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
ITEM
NO.
PERSONAL PROPERTY
Index No.
VALUE
-against-
Calendar No.
:
Plaintiff(s)
:
$
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Court in
Witness, Honorable
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
2
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
Total Value Personal Property $
THE PEOPLE OF THE STATE OF NEW YORK
TO
RECAPITULATION OF PROPERTY
VALUE
Furniture, household goods, wearing apparel
GREETINGS:
$
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Corporate Stocks
,
the Honorable
at the
Court
located at
County ofnotes, other debts owed to the decedent or disabled person
Bonds,
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
orBank accounts, to testify and give evidence as a witness in this action on the part of the
adjourned date, insurance, money.
All other personal property, including proportionate share in any
partnership failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Your
the party on whose behalf this subpoena VALUE PERSONAL PROPERTY $50 and all damages sustained as a
TOTAL was issued for a maximum penalty of $
result of your failure to comply.
TOTAL VALUE REAL ESTATE $
Witness, Honorable
Court in
County,
, one of the Justices of the
day TOTAL VALUE ALL PROPERTY $
of
, 20
Property possessed but not owned by the decedent at death or by protectee, together with a statement as to
the knowledge of the personal representative or conservator as tomust ownership. type name below)
(Attorney its sign above and
Attorney(s) for
Office and P.O. Address
Telephone No.:
TOTAL VALUE $
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
3
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
APPRAISERS EMPLOYED BY PERSONAL REPRESENTATIVE OR CONSERVATOR
:
Calendar No.
The following qualified and disinterested appraisers were employed to assist the personal
representative or conservator in ascertaining the fair market:value JUDICIAL value of which were subject
of assets, the SUBPOENA
Plaintiff(s)
to reasonable doubt.
-against:
NAME AND ADDRESS OF APPRAISER
ASSETS APPRAISED
:
:
Defendant(s)
:
......................................................
THE PEOPLE OF AFFIDAVITOF NEW YORK REPRESENTATIVE OR CONSERVATOR
THE STATE OF PERSONAL
TO
________________________________________________, personal representative/conservator, herein
states on oath or affirmation that the annexed document is a full inventory and description of all the
property of ______________________________________, decedent/protectee which has come into the
possession or knowledge of the undersigned, and of the property in the possession of the decedent at death
GREETINGS:
or of the protectee, as far as the undersigned knows and an appraisement of all property subject to
appraisement.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
It is
,
the Honorable further stated under oath or affirmation that the undersigned is not and was not at time of
at the
Court
decedent’s death in debt or bound in any contract to the decedent or protectee except as stated in the
located at
County of
ininventory and appraisement. day of
room
, on the
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
___________________________________________
________________________________________
Personal Representative/Conservator’s Signature
Personal Representative/Conservator’s Signature
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum ________________________________________
penalty of $50 and all damages sustained as a
___________________________________________
Personal Representative/Conservator’s Name (Typed)
result ofPersonal Representative/Conservator’s Name (Typed)
your failure to comply.
___________________________________________
Witness, HonorableAddress
Street
Court in
County,
day of
State
, one of the Justices of the
Street Address
, 20
___________________________________________
City
________________________________________
Zip Code
________________________________________
City
___________________________________________
State
Zip Code
(Attorney must sign above and type name below)
________________________________________
Telephone No.
Telephone No.
Attorney(s) for
Subscribed and sworn to before me this ____________ day of ________________________,
20_____.
Office and P.O. Address
(Notary Seal)
______________________________________
Telephone No.:
Facsimile No.:
Notary Public
Notary Commission expires:__________________
E-Mail Address:
Mobile Tel. No.:
4
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