Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Guardianship Inventory Form. This is a Washington form and can be use in King Local County.
Loading PDF...
Tags: Guardianship Inventory, 12, Washington Local County, King
1
2
3
4
5
6
7
IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
IN AND FOR THE COUNTY OF KING
8
9
10
In the Guardianship of:
11
__________________________,
12
An Incapacitated Person.
13
14
15
16
17
) Case No.:
)
) GUARDIANSHIP INVENTORY
)
)
) (INV)
COMES NOW__________________(name) the [
] Full [
] Limited Guardian
of the Estate, states that the following is a true and correct inventory of the assets and
liabilities of the Incapacitated Person as of the date of Order Appointing the Guardian.
ASSETS
1.
Real Estate: including the address and legal description of the property and its tax
18
assessed value: __________________________________________________________
19
2.
20
of account, the last four digits of the account number(s) and balance in each account (for
21
example, savings, checking, money markets, certificate of deposit, retirement accounts, and
22
23
24
Financial Accounts: including the name and branch of the financial institution, type
all investment accounts):
______________________________________________________________
3.
Stocks, Bonds, and other Securities: (not held in an account listed above).
________________________________________________________________________
25
26
GUARDIANSHIP INVENTORY- 1
12/2005 REVISED GUARDIANSHIP FORMS
American LegalNet, Inc.
www.USCourtForms.com
1
2
4.
3
4
Household Furnishings
Automobile/Boats
Other (including items on attached list)
5
5.
6
Description
7
8
9
Personal Property: (attach itemized list of all items valued at $1,000 or more).
$
$
$
Income:
Income
Social Security or SSI
Veterans Benefits
Pension
Dividends and Interest
Other:
Per Month
$
$
$
$
$
$
10
11
12
13
14
LIABILITIES/DEBTS
1.
Mortgages and Liens: name and address of each mortgage or lien holder and the
amount owing the property encumbered: ______________________________________
2.
Installment Loans and Notes: name and address of each loan holder, the amount
owing and the amount due monthly: __________________________________________
15
3.
16
balance owing on each: ____________________________________________________
Credit Cards: name and address of each credit card company, and the outstanding
17
18
19
20
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE
STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
Signed at ________________, Washington, ___________, ____200__.
21
22
Signature
Printed Name
Address
Telephone/Fax Number
City, State, Zip Code
Email Address
23
24
25
26
GUARDIANSHIP INVENTORY- 2
12/2005 REVISED GUARDIANSHIP FORMS
American LegalNet, Inc.
www.USCourtForms.com