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Guardianship Inventory Form. This is a Washington form and can be use in King Local County.
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