Fill and Sign the Wi Tenancy Termination Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF THE ESTATE OF       Amended Certificate of Summary Confirmation of Interest in Property (§867.046(1m), Wisconsin Statutes)       Case No.       Based on the petition for summary confirmation of interest in property, THE COURT CERTIFIES : 1. The decedent’s date of death was       . 2. The decedent’s interests held at the time of death in the following in property in Wisconsin terminated or transferred: See a ttached Description of Property (include legal description of real estate, WI county where the property is located and Recording Data from creating document) Decedent’s Interest (from petition)             3. T he name and interest of the person entitled to the property as stated in the petition is: See attached Name and Interest of the Person entitled to the Property (as stated in the petition)       (S eal ) BY THE COURT: Circuit Court Judge Circuit Court Commissioner       Name Printed or Typed       Telephone Number       DateForm completed by: (Name)       Address       Telephone Number       Bar Number       PR-1929, 10/10 Certification of Summary Confirmation of Interest in Property (§867.046, Wis. Stats.) §§705.10(1), 705.15, 766.58 and 867.046, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.