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FOR COURT USE ONLY
ESTATE OF (Name):
INVENTORY AND APPRAISAL
Partial No.: Corrected
Date of Death of Decedent or of Appointment of
Guardian or Conservator:
Reappraisal for Sale
Property Tax Certificate
1. Total appraisal by representative, guardian, or conservator (Attachment 1):
DECLARATION OF REPRESENTATIVE, GUARDIAN, CONSERVATOR, OR SMALL ESTATE CLAIMANT
all a portion of the estate that has come to my knowledge or possession, including particularly all money and all
just claims the estate has against me. I have truly, honestly, and impartially appraised to the best of my ability each item set forth in
by order of the court dated (specify):
No probate referee is required
5. Property tax certificate. I certify that the requirements of Revenue and Taxation Code section 480
are not applicable because the decedent owned no real property in California at the time of death.
have been satisfied by the filing of a change of ownership statement with the county recorder or assessor of each county in
California in which the decedent owned property at the time of death.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE)(TYPE OR PRINT NAME; INCLUDE TITLE IF CORPORATE OFFICER)
STATEMENT ABOUT THE BOND
Bond is waived, or the sole fiduciary is a corporate fiduciary or an exempt government agency.6.
Bond filed in the amount of: $
have been filed with the court for deposits in a blocked account at (specify
Receipts for: $
institution and location):
(TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY OR PARTY WITHOUT ATTORNEY)
Page 1 of 2
Probate Code, §§ 2610-2616, 8800-8980;
Cal. Rules of Court, rule 7.501
Form Adopted for Mandatory Use
Judicial Council of California
DE-160/GC-040 [Rev. January 1, 2007]
INVENTORY AND APPRAISAL
3. Attachments 1 and 2 together with all prior inventories filed contain a true statement of
(Complete in all cases. Must be signed by attorney for fiduciary, or by fiduciary without an attorney.)
2. Total appraisal by referee (Attachment 2):
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
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