Form12-Inventory

Inventory Header Section
Inventory Other Real Estate In Florida Section
Inventory Other Personal Property Section

Inventory Header Section

Circuit CourtMissing or incorrect value

CountyMissing or incorrect value

IN RE: ESTATE OFMissing or incorrect value
File NumberFile Number/Case Number format is PRCYYYYYYYYYFormat PRCYYNNNNNNN 12 characters
DivisionMissing or incorrect valueCourt Division Code	Amended Form?YesNoMissing or incorrect value

INVENTORYMissing or incorrect value

The undersigned personal representative of the estate of Missing or incorrect value

deceased, who died onMissing or incorrect value

submits this inventory of all the property of the estate, SSN Missing or incorrect valueEnter Social Security Number - Format NNN-NN-NNNN

that has come into the hands, possession, control, or knowledge of this personal representative:Missing or incorrect value

REAL ESTATE IN FLORIDA -- Exempt Homestead:Missing or incorrect value

DescriptionMissing or incorrect valueType up to 4 lines

Estimated Fair Market ValueIntegers only! no decimals or spaces Enter amount rounded to nearest dollar (no decimals)

REAL ESTATE IN FLORIDA -- Non-Exempt Homestead:Missing or incorrect value

DescriptionMissing or incorrect valueType up to 4 lines

Estimated Fair Market ValueIntegers only! no decimals or spacesEnter amount rounded to nearest dollar (no decimals)

(Whether property is protected homestead and therefore exempt from the claims of creditors is a judicial determination.) Missing or incorrect value

Inventory Other Real Estate In Florida Section

OTHER REAL ESTATE IN FLORIDA:Missing or incorrect value

DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Integers only! no decimals or spaces Enter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Integers only! no decimals or spaces.Enter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Integers only! no decimals or spaces Enter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Integers only! no decimals or spaces.Enter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
Total Real Estate in Florida -- Except Exempt (Protected) HomesteadMissing or incorrect value	TOTAL Estimated Fair Market Value (except Exempt Real Estate)$.,0Missing or incorrect value

Inventory Other Personal Property Section

Personal Property, Other assets:Missing or incorrect value

DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar (no decimals)
DescriptionMissing or incorrect value	Estimated Fair Market Value$.,0Missing or incorrect valueEnter amount rounded to nearest dollar! (no decimals)
	TOTAL Estimated Fair Market Value$.,0Missing or incorrect value
-TOTAL OF ALL PERSONAL PROPERTY AND FLORIDA REAL ESTATE-(Except exempt homestead)Missing or incorrect value	Total of ALL Personal Property AND Florida Realestate$.,0Missing or incorrect valuein Dollars (grand total)

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. Missing or incorrect value

DescriptionMissing or incorrect value

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.Missing or incorrect value

Signed onMissing or incorrect value

Attorney for Personal RepresentativeMissing or incorrect valueSignature	Personal RepresentativeMissing or incorrect valueSignature
Printed NameMissing or incorrect valueEnter Attorney's FULL Name	Printed NameMissing or incorrect valueEnter Personal Representative FULL Name
Florida Bar No.Missing or incorrect value
Street Address 1Missing or incorrect valueAttorney street Address	Street Address1Missing or incorrect value
Street Address 2Missing or incorrect value	Street Address 2Missing or incorrect value
CityMissing or incorrect value	CityMissing or incorrect value
StateMissing or incorrect value	State Missing or incorrect value
ZipCode Missing or incorrect value	ZipCodeMissing or incorrect value
Telephone: () Missing or incorrect valueDo not include dashes in telephone number, e.g. (954) 555 5555 or (954) 5555555

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