PR-1811, 05/16 Inventory (Informal Administration and Formal Administration) 247247711.03(10), 814.66, 858.01, 858.03, 858.07 and 865.11, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Name Amended Inventory Informal Administration Formal Administration Case No. UNDER OATH, I STATE: As personal representative, I certify that to the best of my knowledge this inventory with schedules includes: 1. All property subject to administration. 2. Any encumbrance, lien or other charge against each item of property. 3. Identification of marital property, if any. I will furnish a copy of this inventory to all persons interested as required by law. SUMMARY OF PROPERTY SUBJECT TO ADMINISTRATION (Value of Decedent's Interest on date of d eath) Date of Death Total value of property subject to administration $ Minus total value of encumbrances, liens or other charges against each item of property ($ ) Net Value of Property Subject to Administration (cannot be less than $0) $ Provide itemized lists on attached schedules and clearly designate any marital property interests . NOTE: A statutory filing fee must accompany this form. State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Personal Representative Name Printed or Typed Address Telephone Number Date State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Personal Representative Name Printed or Typed Address Telephone Number Date Form c omplete d by: (Name) Address Telephone Number Bar Number (If any) American LegalNet, Inc. www.FormsWorkFlow.com PR-1811, 05/16 Inventory (Informal Administration and Formal Administration) 247247711.03(10), 814.66, 858.01, 858.03, 858.07 and 865.11, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 Number Supporting Inventory Schedules ( Description of propert y including digital property as defined unde r 247 711.03(10) , Wis. Stats. , legal description of real estate, and related encumbrances, liens or other charges against each item .) Clearly designate marital property . Value of Decedent's Interest on Date of Death American LegalNet, Inc. www.FormsWorkFlow.com