Fill and Sign the 867055 Wisconsin Legislature Form

PR-1948, 10/10 Judgment Determining Descent §867.05, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mate rial. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Amended Judgment Determining Descent Case No. A Petition for a Judgment Determining Descent of Property of the Decedent was filed and a hearing held on notice. THE COURT FINDS: Based upon the evidence presented, 1. the decedent, with date of birth , and date of death , was domiciled in County, State of , with a mailing address of . Decedent has no domicile in Wisconsin. Property of decedent is located in this count y. 2. decedent died intestate. 3. this estate was not administered and six years or more have elapsed since the decedent’s death. The Department of Revenue’s Certific ate Determining Inheritance Tax is on file with the court. 4. Other: THE COURT ENTERS JUDGMENT DETERMINING DESCENT AS FOLLOWS: See attached description Name of Heir/Grantee Interest in Property Other: THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. 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