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Inventory Of Safe Deposit Box G-4.065 - FLSSI Guardianship
| Inventory Of Safe Deposit Box Form. This is a FLSSI Guardianship form and can be used in Guardianship Administration . |
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IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. __________________ Division __________________ INVENTORY OF SAFE DEPOSIT BOX , the guardian of the property of Ward), files this inventory of the contents of safe deposit box number (name of institution) institution) , , conducted in the presence of , an employee of the above-named institution. CASH (U.S. Currency) $ (the located at , (address of , on COINS, ETC. OTHER THAN STANDARD U.S. CURRENCY Description: STOCKS, BONDS, SECURITIES Name Description Number of Each JEWELRY Description: Bar Form No. G-4.065-1 of 3 © Florida Lawyers Support Services, Inc. January 1, 2013 COLLECTIBLES Description: OTHER PERSONAL PROPERTY Description: OTHER DOCUMENTS OR ITEMS Will Social Security Card Birth Certificate Passport Marriage License Living Will Health Care Surrogate Document Deeds: Description or Address of Property Dated Trust Documents Other Bar Form No. G-4.065-2 of 3 © Florida Lawyers Support Services, Inc. January 1, 2013 The above-described safe deposit box contained no other items of any kind. Under penalties of perjury, I declare that I have read and examined this Inventory of Safe Deposit Box, and the facts alleged are true, correct and complete to the best of my knowledge and belief. Signed on , . Guardian I verify that I, , an employee of , was present during the opening of the above-described safe deposit box and that I witnessed the inventory of its contents, and I verify that the above inventory is accurate and complete. Witness Address: Business Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. G-4.065-3 of 3 © Florida Lawyers Support Services, Inc. January 1, 2013
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