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Inventory And Appraisement Form. This is a Missouri form and can be use in 23rd Circuit (Jefferson County) Local Circuit Courts.
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Tags: Inventory And Appraisement, Missouri Local Circuit Courts, 23rd Circuit (Jefferson County)
IN THE CIRCUIT COURT, JEFFERSON COUNTY MISSOURI
IN THE ESTATE OF
______________________________________________ Estate No. ______________
Deceased
Disabled
Minor
INVENTORY AND APPRAISEMENT
(Please read carefully the inserted directions before filing out this form)
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 with a statement
of all encumbrances, liens and other charges on any item, and all other property
possessed but not owned by the decedent or protectee.
REAL PROPERTY
(include plat or survey descriptions and street addresses)
VALUE
Total Value Real Estate $
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ITEM
NO.
PERSONAL PROPERTY
VALUE
$
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Total Value Personal Property
$
RECAPITULATION OF PROPERTY
VALUE
Furniture, household goods, wearing apparel
$
Corporate Stocks
Bonds, notes, other debts owed to the decedent or disabled person
Bank accounts, insurance, money
All other personal property, including proportionate share in any partnership
TOTAL VALUE PERSONAL PROPERTY
$
TOTAL VALUE REAL ESTATE
$
TOTAL VALUE ALL PROPERTY
$
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 to its ownership
TOTAL VALUE $
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AFFIDAVIT OF APPRAISERS WHERE AUTHORIZED BY COURT
STATE OF MISSOURI
} SS
COUNTY OF JEFFERSON }
The appraisers, being first sworn, state that to the best of their knowledge and belief, the
above and foregoing is a full inventory and description of all real and personal property of the
decedent/protectee which has come into the possession or to the knowledge of the Personal
Representative/Conservator, and of the property which was in the possession of the
decedent/protectee but which was being held or is being claimed by another, and the appraisers
further state that this is an appraisement of all property which the appraisers were employed to
appraise, which property is specified by Item No. corresponding with the signature of each
appraiser.
ITEM NO.
_______________________ ________
_______________________ ________
_______________________ ________
______
________________________________
________________________________
Subscribed and sworn to before me on
Personal Representative/Conservator
__________________________________
____________
________________________________________________
Notary Public
(SEAL)
My Commission Expires: ____________
AFFIDAVIT OF PERSONAL REPRESENTATIVE
STATE OF MISSOURI
} SS
COUNTY OF JEFFERSON }
The undersigned Personal Representative/Conservator, being first duly sworn, states
that the foregoing is a full inventory and description of all real and personal property of the
decedent/protectee which has come into the possession or to the knowledge of the Personal
Representative/Conservator, including a statement of all encumbrances, liens, and other
charges on any property which was in the possession of the decedent/protectee but which was
held, or is being claimed by another, as far as the Personal Representative/Conservator knows,
and further states that the foregoing is an appraisement of all the property subject to
appraisement. The Personal Representative/Conservator further states that he was not in debt
or bound in any contract to the decedent at the time of his death/protectee; except as stated
herein.
__________________________
Personal Representative/Conservator
________________________________________
Personal Representative/Conservator
(SEAL)
Subscribed and sworn to before me on ______________________
My Commission Expires:
____________________
__________________________
Notary Public
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