Estate Inventory

IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT, IN AND FOR MIAMI-DADE COUNTY, FLORIDA PROBATE DIVISION

File Number:

Amended Form:

IN RE: ESTATE OF

INVENTORY

The undersigned as the personal representative of the estate of , deceased, who died on ,hereby submits this inventory of all the property of the state, that has come into the hands,possession, control, or knowledge of this personal representative

REAL ESTATE IN FLORIDA - Exempt Homestead (Not an Estate Asset):

Description	Estimated Fair Market Value

REAL ESTATE IN FLORIDA - Non-Exempt Homestead:

Description	Estimated Fair Market Value

Note:Whether property is protected homestead and therefore exempt from the claims of creditors, is a judicial determination.

OTHER REAL ESTATE IN FLORIDA

	#	Description	Estimated Fair Market Value
	1
Total Value of Real Estate in Florida - Except Exempt (Protected) Homestead

PERSONAL PROPERTY/OTHER ASSETS:

	#	Description	Estimated Fair Market Value
	1
Total Value of Personal Property/Other Assets

Total value of all Personal Property and Florida Real Estate - Except Exempt (Protected) Homestead

All real estate located outside the State of Florida owned by the decedent of which the personal representative is aware, if any, is described on a schedule attached hereto.

NOTICE: Each residuary beneficiary in a testate estate or heir in an intestate estate has the right to request a written explanation of how the inventory value of any asset was determined, including whether the personal representative obtained an independent appraisal for that asset and, if so, a copy of the appraisal. Any other beneficiary may request this information regarding all assets distributed to or proposed to be distributed to that beneficiary.

Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to the best of my knowledge and belief.

Signed on:

PERSONAL REPRESENTATIVE

Personal Representative Signature

Printed Name

Street Address

City:

State

Zip

CO-PERSONAL REPRESENTATIVE

Co-Personal Representative Signature

Printed Name

Street Address

City:

State

Zip

Attorney for Personal Representative

Attorney for Personal Representative Signature

Printed Name

Florida Bar Number

Telephone #

Street Address

City:

State

Zip

Additional Signature Required

Pursuant to Florida Probate Rule 5.330, the personal representative(s) must sign an estate's inventory form. Accordingly, please print and actually sign this page before scanning and submitting it alongside the Inventory Smart Form. The personal representative's attorney may sign this form in any manner authorized by Florida Judicial Administration Rule 2.515(c).

Personal Representative's Signature

Date

Co-Personal Representative's Signature

Date

Attorney for Personal Representative's Signature

Date

Pursuant to Florida Probate Rule 5.340, the Personal Representative is required to serve a copy of the inventory to the decedent’s surviving spouse, each heir at law in an intestate estate, and to each residuary beneficiary in a testate estate.

Estate Inventory

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