IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT, IN AND FOR MIAMI-DADE COUNTY, FLORIDA PROBATE DIVISION
File Number: Amended Form:
IN RE: ESTATE OF
INVENTORY
The undersigned as the personal representative of the estate of , deceased, who died on
, hereby submits this inventory of all the property of the state, that has come into the hands,
possession, control, or knowledge of this personal representative.
REAL ESTATE IN FLORIDA - EXEMPT HOMESTEAD (NOT AN ESTATE ASSET):
Description Estimated Fair Market Value
REAL ESTATE IN FLORIDA - NON-EXEMPT HOMESTEAD:
Description Estimated Fair Market Value
Note:Whether property is protected homestead and therefore exempt from the claims of creditors, is a judicial determination.
OTHER REAL ESTATE IN FLORIDA
# Description Estimated Fair Market Value
Total Value of Real Estate in Florida - Except Exempt (Protected) Homestead
PERSONAL PROPERTY/OTHER ASSETS:
# Description Estimated Fair Market Value
Total Value of Personal Property/Other Assets
Total value of all Personal Property and Florida Real Estate - Except Exempt (Protected)
Homestead
All real estate located outside the State of Florida owned by the decedent of which the personal representative is aware, if any, is
described on a schedule attached hereto.
NOTICE: Each residuary beneficiary in a testate estate or heir in an intestate estate has the right to request a written explanation of how
the inventory value of any asset was determined, including whether the personal representative obtained an independent appraisal for that
asset and, if so, a copy of the appraisal. Any other beneficiary may request this information regarding all assets distributed to or proposed
to be distributed to that beneficiary.
Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to the best of my knowledge and belief.
Signed on:
PERSONAL REPRESENTATIVE
Personal Representative Signature Printed Name
Street Address City: State Zip
AK
CO-PERSONAL REPRESENTATIVE
Co-Personal Representative Signature Printed Name
Street Address City: State Zip
AK
ATTORNEY FOR PERSONAL REPRESENTATIVE
Attorney for Personal Representative Signature Printed Name
Florida Bar Number Telephone #
Street Address City: State Zip
AK
ADDITIONAL SIGNATURE REQUIRED
Pursuant to Florida Probate Rule 5.330, the personal representative(s) must sign an estate’s inventory form. Accordingly, please
print and actually sign this page before scanning and submitting it alongside the Inventory Smart Form. The personal
representative’s attorney may sign this form in any manner authorized by Florida Judicial Administration Rule 2.515(c).
Personal Representative’s Signature Date
Co-Personal Representative’s Signature Date
Attorney for Personal Representative’s Signature Date
PURSUANT TO FLORIDA PROBATE RULE 5.340, THE PERSONAL REPRESENTATIVE IS REQUIRED TO SERVE A COPY OF THE
INVENTORY TO THE DECEDENTS SURVIVING SPOUSE, EACH HEIR AT LAW IN AN INTESTATE ESTATE, AND TO EACH RESIDUARY
BENEFICIARY IN A TESTATE ESTATE.
I CERTIFY that a true copy of the foregoing has been served on:
Full Name:
Mailing Address:
E-mail Address:
City: State Zip
AK
By: E-Mail E-Filing Portal Delivery Mail Fax on
(date)
