Fill and Sign the Wisconsin Proof Heirship Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF THE ESTATE OF             Amended Proof of Heirship Informal Administration Formal Administration Case No.       UNDER OATH, I ANSWER THE FOLLOWING QUESTIONS: 1. What is your name, mailing address and relationship to the decedent? Name Mailing Address Relationship                   2. Was the decedent survived by a spouse or domestic partner? Yes No If YES, give name:       3. A. Did the decedent have any children? (Living or deceased; natural or adopted.) Yes No If YES, list all names. (If deceased, indicate date of death.) See attached Name of Decedent’s Children If Deceased, Date of Death             B. For each deceased child listed in 3A., list his or her name and the names of his or her children (Living or deceased; natural or adopted) . If any of his or her children are deceased, indicate the date of death of that child and the names of his or her descendants. (Living or deceased; natural or adopted.) See attached Name of Deceased Child in (3A) Name of Deceased Child’s Child(ren) Date of Death                   4. If there is a surviving spouse or domestic partner, are all of the decedent's children listed in 3A., also the children of the surviving spouse or domestic partner? Yes No If NO, give details:       Instructions: Are there living persons listed in answers to questions 2. through 4.? • If Y es, skip to question 8. • If N o, continue with question 5. 5. Did the decedent leave surviving parents? Yes No If YES, list names. Name       PR-1806 , 10/10 Proof of Heirship (Informal Administration and Formal Administration) §§852.01, 854.03 and 863.23, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Proof of Heirship (Informal Administration and Formal Administration) Page 2 of 2 Case No. 6. A . If no surviving parent, did the decedent have brothers or sisters? (Living or deceased; whole blood, half blood, adopted) No Yes If YES, list all names . (If deceased, indicate date of death.) Name of Decedent’s Brothers or Sisters If Deceased, Date of Death             B. For each deceased brother or sister listed in 6 A. , list his or her name and the names of his or her children (Living or deceased; natural or adopted) . If any of his or her children is deceased, indicate the date of death of that child and the names of his or her descendants. ( Living or deceased; natural or adopted) See attached Name of Deceased Brother or Sister in (6 A ) Date of Death Name of Deceased Brother’s or Sister’s Children                   7. If there are no living persons listed in questions 2. through 6 B. , list names of maternal (mother) and paternal (father) grandparents and the descendants of any deceased grandparent and whether the person is living or deceased. Please continue listing children of deceased persons until a living person is named. See attached MATERNAL (Mother) PATERNAL ( Father ) Grandfather:       Grandfather:       Grandmother:       Grandmother:       Descendants:       Descendants:       8. Did any of the persons named in 2. through 7. die within 120 hours (5 days) after the death of the decedent? No Yes If YES, list name(s), date of death and descendant(s). Name Date of Death Descendant(s)                   State of       County of       Subscribed and sworn to before me on       Notary Public/Court Official       Name Printed or Typed My commission/term expires:       ► Signature       Name Printed or Typed       Telephone Number       Date Form completed by: (Name)       Address       Telephone Number       Bar Number (If any)       PR-1806 , 10/10 Proof of Heirship (Informal Administration and Formal Administration) §§852.01, 854.03 and 863.23, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2