Fill and Sign the 867046 Summary Confirmation of Interest in Property Form

PR-1929, 10/10 Certification of Summary Confirmation of Interest in Proper ty (§867.046, W is. Stats.) §§705.10(1), 705.15, 766.58 and 867.046, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional mater ial. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Amended Certificate of Summary Confirmation of Interest in Property (§867.046(1m), Wisconsin Statutes) Case No. Based on the Petition for Summary Confirmation of Interest in Property, THE COURT CERTIFIES: 1. The decedent ’s date of death was . 2. The decedent’s interests held a t the time of death in the following in property in Wisconsin terminated or transferred: See attached Description of Property (include legal description of real estate, WI county where the property is located and Recording Data from creating document) Decedent’s Interest (from petition) 3. The name and interest of the person entitled to the property as stated in the petiti on is: See attached Name and Interest of the Person entitled to the Property (as stated in the petition) (SEAL) BY THE COURT: Form completed by: (Name) Circuit Court Judge/Circuit Court Commissioner Title (Print or Type Name if not eSigned) Date Address Telephone Number Bar Number