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Guardianship Inventory 12 - Washington
| Guardianship Inventory Form. This is a Washington form and can be used in Guardianship Superior Court King Local County . |
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF KING In the Guardianship of: __________________________, An Incapacitated Person. ) 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. 2. Real Estate: including the address and legal description of the property and its tax Financial Accounts: including the name and branch of the financial institution, type assessed value: __________________________________________________________ of account, the last four digits of the account number(s) and balance in each account (for example, savings, checking, money markets, certificate of deposit, retirement accounts, and all investment accounts): ______________________________________________________________ 3. Stocks, Bonds, and other Securities: (not held in an account listed above). ________________________________________________________________________ GUARDIANSHIP INVENTORY- 1 12/2005 REVISED GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 4. Personal Property: (attach itemized list of all items valued at $1,000 or more). $ $ $ Household Furnishings Automobile/Boats Other (including items on attached list) 5. Income: Per Month Description Income Social Security or SSI Veterans Benefits Pension Dividends and Interest Other: $ $ $ $ $ $ LIABILITIES/DEBTS 1. 2. 3. Mortgages and Liens: name and address of each mortgage or lien holder and the Installment Loans and Notes: name and address of each loan holder, the amount Credit Cards: name and address of each credit card company, and the outstanding amount owing the property encumbered: ______________________________________ owing and the amount due monthly: __________________________________________ balance owing on each: ____________________________________________________ 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__. Signature Printed Name Address Telephone/Fax Number City, State, Zip Code Email Address GUARDIANSHIP INVENTORY- 2 12/2005 REVISED GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com
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