Fill and Sign the Petition for Certificate of Descent Judgment Determining Descent Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF THE ESTATE OF             Amended Petition for Certificate of Descent Judgment Determining Descent Case No.       UNDER OATH, I STATE: 1. The decedent, with date of birth       and date of death       , was domiciled in       County, State of       , with a mailing address of       or had no domicile in Wisconsin. Property of decedent is located in this county. 2. The time and place of decedent’s death as known or as can be ascertained with due diligence is as follows:       3. I am interested as       . 4. The decedent died intestate. 5. The estate was not administered and six years or more have elapsed since the decedent’s death. 6. The names and mailing addresses of all heirs of decedent or their grantees entitled to an interest in the property are as follows: (For any person with disabilities, also list any guardian of estate; for any person in the military, also list attorney or attorney in fact; and for any minor, list date of birth.) See attached Name Relationship Mailing Address If Minor, Date of Birth                         PR-1945 , 10/10 Petition for Certificate of Descent / Judgment Determining Descent §867.05, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Petition for Certificate of Descent / Judgment Determining Descent Page 2 of 2 Case No. 7. This estate is not subject to an inheritance tax, OR This estate may be subject to an inheritance tax. A petition was filed for appointment of a special administrator with powers to determine the tax. 8. Decedent left the following described property for which a determination of descent is sought. See attached Legal Description       9. The heirs or their grantees respective rights and interests in the property are as follows: See attached Name of Heir or Grantee Interest in Property             10. Other:       I REQUEST THE COURT: 1. Determine the heirs of decedent and descent of the property and issue a certificate of descent. a judgment determining descent. 2. Other: State of       County of       Subscribed and sworn to before me on       Notary Public/Court Official       Name Printed or Typed My commission/term expires:       ► Petitioner       Name Printed or Typed       Address             Telephone Number Form completed by: (Name)             Date Address       Telephone Number       Bar Number (If any)       PR-1945 , 10/10 Petition for Certificate of Descent / Judgment Determining Descent §867.05, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2