Missouri > Local Circuit Courts > 21st Circuit (St. Louis County) > Probate
Inventory And Appraisement 3233A - Missouri
| Inventory And Appraisement Form. This is a Missouri form and can be used in Probate 21st Circuit (St. Louis County) Local Circuit Courts . |
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IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI In the estate of ___________________________________________________ No. ______________ Deceased/Disabled/Minor ___________________________________________________ Personal Representative/Conservator INVENTORY AND APPRAISEMENT (Please read carefully the inserted directions before filling out this form) The personal representative or conservator hereby makes and returns the following inventory and appraisement of all of the property of the above named decedent or protectee, including exempt property, which has come into the possession or knowledge of the personal representative or conservator, together with a statement of all encumbrances, liens and other charges on any item, and all other property possessed but not owned by the decedent or protectee. REAL PROPERTY VALUE (include plat or survey descriptions and street addresses) Total Value Real Estate $ 3233/A 8/00 <<<<<<<<<********>>>>>>>>>>>>> 2 ITEM PERSONAL PROPERTY VALUE NO. $ 2 <<<<<<<<<********>>>>>>>>>>>>> 3 Total Value Personal Property $ RECAPITULATIO N OF PROPERTY VALUE Furniture, household goods, wearing apparel $ Corporate Stocks Bonds, notes, other debts owed to the decedent or disabled person Bank accounts, insurance, money. All other personal property, including proportionate share in any partnership TOTAL VALUE PERSONAL PROPERTY $ TOTAL VALUE REAL ESTATE $ TOTAL VALUE ALL PROPERTY $ Property possessed but not owned by the decedent at death or by protectee, together with a statement as to the knowledge of the personal representative or conservator as to its ownership. TOTAL VALUE $ 3 <<<<<<<<<********>>>>>>>>>>>>> 4 APPRAISERS EMPLOYED BY PERSONAL REPRESENTATIVE OR CONSERVATOR The following qualified and disinterested appraisers were employed to assist the personal representative or conservator in ascertaining the fair market value of assets, the value of which were subject to reasonable doubt. NAME AND ADDRESS OF APPRAISER ASSETS APPRAISED AFFIDAVIT OF PERSONAL REPRESENTATIVE OR CONSERVATOR ________________________________________________, personal representative/conservator, herein states on oath or affirmation that the annexed document is a full inventory and description of all the property of ______________________________________, decedent/protectee which has come into the possession or knowledge of the undersigned, and of the property in the possession of the decedent at death or of the protectee, as far as the undersigned knows and an appraisement of all property subject to appraisement. It is further stated under oath or affirmation that the undersigned is not and was not at time of decedents death in debt or bound in any contract to the decedent or protectee except as stated in the inventory and appraisement. ___________________________________________ ________________________________________ Personal Representative/Conservators Signature Personal Representative/Conservators Signature ___________________________________________ ________________________________________ Personal Representative/Conservators Name (Typed) Personal Representative/Conservators Name (Typed) ___________________________________________ ________________________________________ Street Address Street Address ___________________________________________ ________________________________________ City State Zip Code City State Zip Code ___________________________________________ ________________________________________ Telephone No. Telephone No. Subscribed and sworn to before me this ____________ day of ________________________, 20_____. (Notary Seal) ______________________________________ Notary Public Notary Commission expires:__________________ 4
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