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Inventory, Appraisal And Record Of Value Form. This is a Nevada form and can be use in Clark County.
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Tags: Inventory, Appraisal And Record Of Value, Nevada County, Clark
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CC25
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DISTRICT COURT
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CLARK COUNTY, NEVADA
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In the Matter of the Guardianship of
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CASE NO.
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DEPT. NO.
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A(n) Adult/Minor Ward.
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INVENTORY, APPRAISAL AND RECORD OF VALUE
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(1)
Gross
Asset
Value
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A. REAL PROPERTY
Description
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2.
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B. PERSONAL PROPERTY
Cash and deposits (list)
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5.
6.
Partnership interests, etc.
(describe)
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$
$
$
(2)
Amount of
Encumbrance
$
$
$
Estate’s
Interest*
(
(
(
)
)
)
(1 Less 2)
Net VALUE of
Estate’s Interest
$
$
$
*Designate nature of estate’s interest & % of ownership (C) community; (S)
separate; i.e. 50% (C) or (S).
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(1)
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Gross
Asset
Value
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(2)
(1 Less 2)
Amount of
Encumbrance
Estate’s
Interest*
Net VALUE of
Estate’s Interest
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Notes, bonds, securities,
debts, etc. (list name &
address of debtor, date debt
originated, endorsement w/
date, estimate as to amount
collectible)
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$
$
%(
) $
10.
11.
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Vehicles (describe)
13.
14.
15.
Misc. Personal Property
(describe)
16.
17.
*Designate nature of estate’s interest & % of ownership (C) community; (S)
separate; i.e. 50% (C) or (S).
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STATE OF
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COUNTY OF
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)
)
ss:
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OATH OF APPRAISER
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I, the undersigned, appraiser of the Estate of the above-named Ward, solemnly
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affirm that I will truly, honestly, and impartially appraise the inventory of the estate to the
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best of my knowledge and ability.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
EXECUTED this
day of
, 20
.
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______________________________
Appraiser
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APPRAISAL
I, the undersigned appraiser of the Estate of the above-named Ward, hereby
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certify that items
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that I appraised these items on the inventory at the value shown opposite thereof for a
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total sum of
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of the inventory of the estate have been examined by me and
($
) Dollars.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
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day of
EXECUTED this
, 20
.
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______________________________
Appraiser
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(Repeat Oath & Certification for each Appraiser, attach separate sheets if
necessary)
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STATE OF
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)
)
)
COUNTY OF
ss:
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OATH OF PERSONAL REPRESENTATIVE
I, the undersigned Personal Representative of the Estate of the above-named
Ward, solemnly affirm that the foregoing inventory is a true statement of all assets of the
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Estate which have come into my possession or of which I have knowledge and includes
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all money and claims of the Ward.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
EXECUTED this
day of
, 20
.
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______________________________
Personal Representative
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VERIFIED RECORD OF VALUE IN LIEU OF APPRAISEMENT
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I, the undersigned, solemnly affirm that items
of the inventory of the Estate
have been examined by me and that I recorded the value of these items on the
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inventory at the value shown opposite thereof for a total sum of
($
) dollars.
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______________________________
Personal Representative
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STATE OF
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COUNTY OF
)
)
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ss:
The undersigned being duly sworn states that he/she is the Personal
Representative of the Estate of the above-named ward; that he/she has read the above
and foregoing Record of Value, knows the contents thereof, and that the same is true of
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his/her own knowledge, except for those matters therein stated on information and
belief, and as for those matters he/she believes them to be true.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
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EXECUTED this
day of
, 20
.
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______________________________
Personal Representative
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