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AOC 855 Rev. 12-03 Page 1 of 2

Doc. Code: INV

Case No.______________________ Court__________________________

Commonwealth of Kentucky Court of Justice
www.kycourts.net

KRS 387.100

60 DAY INVENTORY OR SUPPLEMENTAL INVENTORY

County________________________

NOTICE TO GUARDIAN/CONSERVATOR: FILE THIS INVENTORY WITHIN 60 DAYS OF APPOINTMENT. IF OTHER PROPERTY LATER COMES TO YOUR KNOWLEDGE, A SUPPLEMENTAL INVENTORY MUST BE FILED WITHIN 60 DAYS OF OBTAINING SUCH KNOWLEDGE. In re estate of ___________________________________________________________, a minor under the age of 18. ___________________________________________________________ states that as [ ] guardian [ ] conservator, the following is a full, true and complete Inventory of the Estate which has come into his/her hands or the existence of which he/ she has knowledge: 1. Real Property: (Include description, address, probable value and probable value of rent.) Value $ ______________ $ ______________ $ ______________ $ ______________

__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 2. Personal Property: a. Motor Vehicles (Autos, Trucks, Farm Equipment) _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ b. Household Appliances and Jewelry _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ 3. List all monies owed for any item under 1 and 2:

Value $ ______________ $ ______________ $ ______________ $ ______________ Value $ ______________ $ ______________ $ ______________ $ ______________

____________________________________________________________________________________________ ____________________________________________________________________________________________

AOC 855 Rev. 12-03 Page 2 of 2

Doc. Code: INV

4.

Monies or Cash on Hand: a. Monthly Government Benefits and Pensions, Social Security, SSI _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ b. Savings, Checking Accounts and Certificates of Deposit: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Value $ ____________________ $ ____________________ $ ____________________ $ ____________________ Value $ ____________________ $ ____________________ $ ____________________ $ ____________________ Value $ ____________________ $ ____________________ Value $ ____________________ $ ____________________

5.

Claims against the Ward: __________________________________________________________________________ __________________________________________________________________________

6.

Claims by the Ward against others: __________________________________________________________________________ __________________________________________________________________________

__________________________________________________ Guardian/Conservator

Subscribed and sworn to before me this ____________ day of __________________________________, _________.

__________________________________________________ Name/Title