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Guardianship Inventory Form. This is a Washington form and can be use in Snohomish Local County.
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Tags: Guardianship Inventory, GR 3, Washington Local County, Snohomish
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
SUPERIOR COURT OF WASHINGTON
IN AND OF THE STATE OF NEW YORK
THE PEOPLEFOR SNOHOMISH COUNTY
TO
CASE NO.
GUARDIANSHIP INVENTORY
In the Guardianship of:
GREETINGS:
GR 3 7-03
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
CountyIncapacitated Person.
an 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
The Guardian of the Estate of the above-named person, being first duly sworn, states that the following is a true and
Your failure to comply liabilities subpoena is punishable as a contempt of court and will
correct inventory of the assets and with this of the Ward as of the date of appointment of the Guardian. 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
Instructions: Attach supplemental schedules where space is insufficient. You may use Tax numbers in place
of legal descriptions. If some or all assets are COMMUNITY PROPERTY or liabilities are community, state
the ward’s spouse’s name here:
(Attorney must sign above and type name below)
Attorney(s) for
and check each asset or liability which is community. Community property values and obligations are to
be reported in full, not just the ward’s share.
Office and P.O. Address
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
:
JUDICIAL SUBPOENA
ASSETS
Plaintiff(s)
-against1.
:
Real Estate: (including the address and legal description of the property, and its fair market value)
:
(You may use county tax numbers in lieu of lengthy descriptions and current assessed values)
:
Check here if community property:
Defendant(s)
:
......................................................
Description:
THE PEOPLE OF THE STATE OF NEW YORK
TO
Address:
Fair market value:
Check here if community property:
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Description:
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
Address:
Fair market value:
Check here if community property: this subpoena is punishable as a contempt of court and will make you liable to
Your failure to comply with
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.
Description:
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
Address:
Fair market value:
(Attorney must sign above and type name below)
Check here if community property:
Attorney(s) for
Description:
Office and P.O. Address
Address:
Fair market value:
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
Instructions: If any accounts are joint accounts with others, please: check and state the name(s) of the joint
JUDICIAL SUBPOENA
Plaintiff(s)
holder. (Includes bank C.D.s)
-against-
:
:
2. Bank Accounts: (including the bank name, branch, type of account, account numbers, and balance in
each account)
:
Check here if community property:
Check here if joint account:
Defendant(s)
:
. . . . . . . joint .account . . . . the .name(s) .of .the. joint .holder:. . . . . . . . . . . . .
If . . . . . . . . state . . . . . . . . . . . . . . . .
Bank name:
Branch:
THE PEOPLE OF THE STATE OF NEW YORK
Type of account:
TO
Account number:
Balance:
Check here if community property:
Check here
GREETINGS: if joint account:
If joint account state the name(s) of the joint holder:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Bank name:
located at
County of
Branch:
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or Type of account: to testify and give evidence as a witness in this action on the part of the
adjourned date,
Account number:
Balance:
Check here if community property: this subpoena is punishable as a contempt of court and will make you liable to
Your failure to comply with
Check here if joint account:
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
If your failure to the name(s)
result ofjoint account statecomply. of the joint holder:
Bank name:
Witness, Honorable
Branch:
Court in
County,
, one of the Justices of the
day of
, 20
Type of account:
Account number:
Balance:
(Attorney must sign above and type name below)
Check here if community property:
Check here if joint account:
If joint account state the name(s) of the joint holder:
Attorney(s) for
Bank name:
Branch:
Office and P.O. Address
Type of account:
Account number:
Balance:
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
3 of 9
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
Instructions: In answering 3 and 4 you may indicate a brokerage or investment account being managed for
:
the ward, indicating the name of the broker/manager, its branch, and account number. SUBPOENA
JUDICIAL
Plaintiff(s)
-against-
:
3. Stocks:
:
Check here if community property:
:
Defendant(s)
Description:
:
......................................................
Fair market value:
Check here if THE STATE OF
THE PEOPLE OFcommunity property: NEW YORK
TO
Description:
Fair market value:
GREETINGS:
Check here if community property:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Description:
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
Fair market value:
Check here if community property:
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
Description:
result of your failure to comply.
Fair market value: Honorable
Witness,
, one of the Justices of the
Court Check here if community property:day of
in
County,
, 20
Description:
(Attorney must sign above and type name below)
Fair market value:
Attorney(s) for
Check here if community property:
Description:
Office and P.O. Address
Fair market value:
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
4 of 9
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
4. Bonds and other securities:
Plaintiff(s)
Check here if community property:
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
Description:
:
Defendant(s)
Fair market value:
:
......................................................
Check here if community property:
Description:
THE PEOPLE OF THE STATE OF NEW YORK
TO
Fair market value:
Check here if community property:
GREETINGS:
Description:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Fair market
located at
County of value:
Check here if ,community property:of
in room
on the
day
, 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
Description:
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
Fair market value:
result of your failure to comply.
Check here if community property:
Witness, Honorable
Description:
Court in
County,
, one of the Justices of the
day of
, 20
Fair market value:
(Attorney must sign above and type name below)
Check here if community property:
Attorney(s) for
Description:
Fair market value:
Office and P.O. Address
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
5 of 9
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www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
5. Personal Property:
Plaintiff(s)
-against-
Index No.
Calendar No.
: Check if
JUDICIAL SUBPOENA
community
Value:
: property:
Household Furnishings:
:
Automobiles/Boats/Vehicles:
:
Other: (Please list)
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
Check
or adjourned date, to testify and give evidence as a witness in this action onif part of the
the
6. Income:
community
property:
Amount per month:
Social Security:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Pension:
the party onand Interest: this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
whose behalf
Dividends
result of your failure to comply.
Other: (Please list)
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
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
6 of 9
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www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
LIABILITIES/DEBTS
:
Plaintiff(s)
-against-
Index No.
Calendar No.
JUDICIAL SUBPOENA
:
7. Mortgages, Deeds of Trust, etc: Name and address of each mortgage holder and the
total amount owing:
:
$ Check here if community liability:
:
Name:
Defendant(s)
:
. . Address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......
Amount owing:
Check here if community liability:
THE PEOPLE OF THE STATE OF NEW YORK
Name:
TO
Address:
Amount owing:
GREETINGS:
8. Installment Loans and Notes: Name and address of each loan holder, the amount owing, and the
WE COMMAND
monthly amount due: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
Check here if community liability:
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or Loan holder date, to testify and give evidence as a witness in this action on the part of the
adjourned name:
Address:
Amount owing:
Your failure
Monthly amount due: 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
Check here if community liability:
result of your failure to comply.
Loan holder name:
Address:Witness, Honorable
Court in owing:
Amount
County,
, one of the Justices of the
day of
, 20
Monthly amount due:
(Attorney must sign above and type name below)
9. Credit Cards: Name and address of each credit card company, the amount owing, and the monthly
amount due:
Attorney(s) for
Check here if community liability:
Check here if joint liability:
Credit card name:
Office and P.O. Address
Address:
Amount owing:
Monthly amount due:
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RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
10. Other liabilities: Name and address of each creditor, basis of liability amount thereof, and whether
JUDICIAL SUBPOENA
Plaintiff(s)
disputed:
-against-
:
Check here if community liability:
:
Creditor Name:
:
Address:
Defendant(s)
:
Type of Debt:
......................................................
Amount:
Disputed:
yes
no
THE PEOPLE OF THE STATE OF NEW YORK
Check here if community liability:
TO
Creditor Name:
Address:
Type of Debt:
GREETINGS:
Amount:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
yes
Disputed:
,
the Honorable
at the
Court
no
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
SUMMARY
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.
$
TOTAL ASSETS:
Witness, Honorable
(Add figures reported 1 through 5)
Court in
County,
, one of the Justices of the
day of
, 20
$
TOTAL LIABILITIES:
(Add figures reported 7 through 10)
(Attorney must sign above and type name below)
NET WORTH:
(Assets less liabilities)
TOTAL MONTHLY INCOME:
(Add figures reported 6)
*
$
$
Attorney(s) for
*
Office and P.O. Address
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RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
*Some or all of the net worth and/or income may be community property. If so, you may address this issue in
“comments” below.
:
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
:
Comments:
:
:
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
I declare under penalty of perjury, as defined by the laws of the Sate of Washington, that the foregoing is true
orand correct.date, to testify and give evidence as a witness in this action on the part of the
adjourned
Signed at
, Washington
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
Dated (mm/dd/yyyy):
result of your failure to comply.
Witness, Honorable
Court in
County,
GUARDIAN:
, one of the Justices of the
day of
, 20
(Signature)
(Attorney must sign above and type name below)
GUARDIAN:
(Signature)
Attorney(s) for
Office and P.O. Address
S:\Web Forms\ Superior Court\pdf\GrdnInventory.doc
RRU: 07/01/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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