Fill and Sign the I Am the Trustee of This Trust Form

PR-1932, 10/10 Trust Inventory (Informal Administration and Formal Administration) §701.16(3), W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF For the following trust: Amended Trust Inventory Informal Administration Formal Administration Case No. For Official Use UNDER OATH, I STATE: 1. I am the trustee of this trust. 2. The following is a list of all property received : See attached Property Received from the Personal Representative (Description) Value $ Total from Personal Representative $ Property Received from Other Sources (Identify Source) Value $ Total from Other Sources $ TOTAL FROM ALL SOURCES $ State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Trustee Name Printed or Typed Address Telephone Number Date Trustee Name Printed or Typed Address Telephone Number Date Form completed by: (Name) Address Telephone Number Bar Number (If any)