WI-ET30 STATE OF WISCONSIN SUMMARY ADMINISTRATION Forms Included: Form One Summary Settlement – PetitionForm Two Summary Settlement – Order for Hearing and NoticeForm Three Summary Settlement – Findings and Order Steps:One:Complete Form One – Petition – file original with the Court and a copy to all
interested parties. Pay particular attention to Section 4. (a) and (b) to insure that
the estate qualifies for Summary Settlement.Two:Complete Form Two – Order for Hearing and NoticeThree: Complete Form Three – Findings and OrderFour:File Competed forms with the Circuit Court ion the jurisdiction where the
decedent resided.
STATE OF WISCONSIN, CIRCUIT COURT, _____________________COUNTY IN THE MATTER OF THE ESTATE OF SUMMARY SETTLEMENT – PETITION_______________________________________ with Special Administration_______________________________________ Case No. __________________Under oath, I state that:1. The decedent, whose date of birth was _______________________, and date of death was
_____________________________, died domiciled in _____________________ County, State of _________________, with a post office address of: _________________________________ _____________________________________________________________________________.2.The petitioner is interested as _____________________________________________________.3.The estate of the decedent: qualifies for summary settlement without appointment of a personal representative. commenced under chapter 856, meets the requirements for termination under summary settlement of small estates.4.The estate is one properly settled under summary settlement in that: (Select either a or b below.) a.the estate, less the amount of the debts for which any property in the estate is security,
does not exceed in value the expenses, allowances, and claims under §859.25(1)(a) to (g),
Wis. Stats. b. the estate, less the amount of the debts for which any property in the estate is security,
does not exceed $50,000 (date of death after May 8, 2000) or $30,000 (date of death before May 9, 2000) in value and the decedent is survived by a spouse or one or more
minor children or both. 5. A detailed statement of property in which the decedent had an interest is as follows: See attached. Value of Decedent’s Description of Property Interest at Date of deathA.Property in which decedent had an interest:__________________________________________________________ $ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________B. Property over which decedent had a power of appointment: $ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
C. Benefits payable on decedent’s death under annuities/retirement plan/life insurance:__________________________________________________________ $ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________D. Joint and life tenancies:__________________________________________________________ $ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________E. Gifts made in contemplation of death or taking effect upon death or made within 2 years prior
to death:__________________________________________________________$ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________F. Any other property that may be subject to death taxes as the result of the decedent’s death:
__________________________________________________________$ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________6.The names and addresses of all creditors of the decedent or the estate and the amounts of their
claims are as follows:Name of Creditor Address Claim Amount ___________________________ _________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________
____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 7.The names and post-office addresses of all persons interested (including children of decedent
who are not children of the surviving spouse), so far as known to petitioner or ascertainable by
the petitioner with reasonable diligence are as follows (indicate persons who are minors or
otherwise under disability, and names and post-office addresses of their guardians):Name Relationship Address Minor’s D. O. B.____________________________ ___________ ______________________ ______________ __________________________________________________________________ 8.The decedent : did did not receive medical assistance. did did not receive family care benefits. did did not receive long-term community support services (C.O.P.). did did not receive benefits of Wisconsin Chronic Disease Programs. was was not a patient or inmate of a state or county hospital or institution, or
responsible for any person owing an obligation to the state or county. If so, explain:
_____________________________________________________________________________ _____________________________________________________________________________9. The decedent’s spouse, (name) ______________________________________________, if any: did did not receive long-term community support services (C.O.P.). did did not receive benefits of Wisconsin Chronic Disease Programs. 10. It is necessary to appoint a special administrator with the following powers: __________________________________________________________________________________________________________________________________________________________Based upon these statements, I request that the Court:1. Assign the property to the persons entitled to it.2. Order any person indebted to or holding money or other property of the decedent to pay the
indebtedness or deliver the property to the persons found to be entitled to receive it.3. Order the transfer of interests in real estate, stocks or bonds registered in the name of the
decedent, the title of a licensed motor vehicle, or any other form of property.
4. Order termination of any life estate.5. Certify the right of survivorship of any joint tenant for which a certificate has not been issued.6. Certify that any interest of the decedent in survivorship marital property vested in the surviving
spouse at death.7. Order termination of any estate commenced under Chapter 856, discharge the personal
representative and cancel any bond.8. Appoint a special administrator with the powers requested. Subscribed and sworn to before meOn ________________________________ ______________________________________Signature of Petitioner_________________________________________________________________________Notary Public/Court Official Name Printed or TypedMy commission expires: _______________ ______________________________________Address ______________________________________ ______________________________________Telephone Number
STATE OF WISCONSIN, CIRCUIT COURT, _____________________COUNTY IN THE MATTER OF THE ESTATE OF SUMMARY SETTLEMENT – PETITION_______________________________________ Order for Hearing and Notice_______________________________________ Case No. __________________A petition has been filed for the summary settlement of the estate of the decedent, whose date of birth
was ___________________________, and date of death was _______________________, who died
domiciled in _______________________ County, State of _____________________, with a post office
address of: _____________________________________________________..THE COURT ORDERS THAT:The petition be heard at the _________________ County Courthouse, ___________________,Wisconsin, Room __________, before ___________________________, Court Official, on_________________, at _________________________ or when scheduled thereafter.Date TimeNotice shall be given:1. By mailing, at least 20 days before the hearing, a copy of this order and the petition to every
person entitled to notice.2. If required, by publication of this order once a week for three consecutive weeks in the following
newspaper:__________________________________________________________________________,The first publication date to be within 15 days from the date of this order.BY THE COURT______________________________________Court Official Please check with petitioner below ______________________________________ for exact time and date Name Printed or Typed______________________________________Date__________________________________Name of Petitioner__________________________________Address__________________________________Telephone Number
STATE OF WISCONSIN, CIRCUIT COURT, _____________________COUNTYIN THE MATTER OF THE ESTATE OF SUMMARY SETTLEMENT – Findings and Order_______________________________________ With Order Appointing Special
Administrator_______________________________________Case No. __________________A petition for summary settlement having been filed,THE COURT FINDS THAT:1.The decedent, whose date of birth was ____________________, and date of death was____________________________, died domiciled in _____________________County, State of
_____________________, with a post office address of:___________________________________________________________________________________________________________.2. Petitioner is interested as ______________________________________________________.3. Notice: has been given as required by the court has been waived was not required.4. If required, notice has been given to the Department of Health and Family Services and more
than 30 days have elapsed since that notice was given.5.The estate is one properly settled under summary settlement in that: (Select either a or b below.) a.the estate, less the amount of the debts for which any property in the estate is security,
does not exceed in value the expenses, allowances, and claims under §859.25(1)(a) to (g),
Wis. Stats. b. the estate, less the amount of the debts for which any property in the estate is security,
does not exceed $50,000 (date of death after May 8, 2000) or $30,000 (date of death before May 9, 2000) in value and the decedent is survived by a spouse or one or more
minor children or both. 6. A detailed statement of property in which the decedent had an interest is as follows: See attached. Value ofDescription of Property Decedent’s In at Date of death A.Property in which decedent had an interest: $ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________B. Property over which decedent had a power of appointment: $ _________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________C. Benefits payable on decedent’s death under annuities/retirement plan/life insurance: $ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________D. Joint and life tenancies:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________E. Gifts made in contemplation of death or taking effect upon death or madewithin 2 years prior to death: $ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________F. Any other property that may be subject to death taxes as the result of the decedent’s death: $ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________7. Complete section a or b below. a. The estate is appropriate to be settled under §867.01(1)(a), Wis. Stats. The priority claims
against the estate under §859.25, Wis. Stats., and the persons entitled to payment are: Persons(s) Entitled to Payment Amount(1) Costs and expenses of administration:__________________________________________________________ $ __________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(2) Funeral and burial expenses:__________________________________________________________$ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(3) Provisions for the family of the decedent under §§861.31, 861.33 and 861.35, Wis. Stats.:__________________________________________________________ $ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(4) Other priority claims under §859.25, Wis. Stats.:__________________________________________________________ $ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ b.The estate may be settled under §867.01(1)(b), Wisconsin Statutes. Any property not
otherwise assigned shall be assigned as an allowance under §861.31, Wisconsin Statutes
to: the surviving spouse, or the minor children, or both the surviving spouse and the minor children. 8. Any interest of the decedent as joint tenant terminated at death.9. Any life estate of the decedent terminated at death.10. Any interest of the decedent in survivorship marital property vested in the surviving spouse at
death.11. It is necessary to appoint a special administrator with the following powers:
THE COURT ORDERS THAT:1. The property is assigned to the persons entitled to it as stated below.2. Any person indebted to or holding money or other property of the decedent pay the indebtedness
or deliver the property to the persons found to be entitled to receive it as stated below.3. Interests in real estate, stocks or bonds registered in the name of the decedent, title of licensed
motor vehicle(s), or any other form of property are transferred as stated below.Person(s) Entitled to Receive Description of Property Value________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________4. If the decedent immediately prior to death had an estate for life or an interest as a joint tenant or
in survivorship marital property, in any property for which a certificate of termination has not
been issued, the court certifies that such interests terminated or vested at death.5. The estate commenced under Chapter 856 is terminated; upon filing receipts, the personal
representative is discharged and any bond is cancelled.6. The petitioner shall inform known unsatisfied creditors as to the final disposition of the
estate.
7. Letters of Special Administration are issued to ________________________________________
upon filing a _______________ bond of $ ______________________, with the following
powers:BY THE COURT:______________________________________Court Official ______________________________________ Name Printed or Typed______________________________________Date__________________________________Name of Petitioner__________________________________Address__________________________________Telephone Number
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