Fill and Sign the Petition for Transfer of Residue Ancillary Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF THE ESTATE OF             Amended Petition for Transfer of Residue (Ancillary Administration) Case No.       UNDER OATH, I STATE: 1. I was issued ancillary letters. 2. The following is an inventory and an account of the decedent’s property in Wisconsin from ( D ate)       to ( D ate of death or Date of prior account)       . See attached Inventory Value at Date of Death       $       See attached Additional Items Received Amount       $       See attached Items Disbursed Amount       $       3. All claims allowed in Wisconsin were paid. 4. All taxes and charges levied or incurred in Wisconsin were paid. 5. The following assets remain for transfer to the representative in the domiciliary jurisdiction: See attached Assets Remaining to be Transferred Amount       $       6. Other:       PR-1963 , 10/10 Petition for Transfer of Residue (Ancillary Administration) §868.03, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Petition for Transfer of Residue (Ancillary Administration) Page 2 of 2 Case No. Error: Reference source not found I REQUEST THE COURT: 1. Allow the account. 2. Authorize the transfer of any movable assets on hand to the representative in the domiciliary jurisdiction. as follows:       3. Terminate ancillary letters and cancel any bond in Wisconsin. 4. Other:       State of       County of       Subscribed and sworn to before me on       Notary Public/Court Official       Name Printed or Typed My commission/term expires:       ► Local Representative       Name Printed or Typed       Address             Telephone Number       Date Form completed by: (Name)       Address       Telephone Number       Bar Number       PR-1963 , 10/10 Petition for Transfer of Residue (Ancillary Administration) §868.03, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2