EX PARTE PETITION
FOR ORDER TO OPEN
SAFE DEPOSIT BOX
PR – 1
The District Court Filing Office
is located on the first floor at:
75 Court Street
Reno, NV 89501
EX PARTE PETITION FOR ORDER
TO OPEN SAFE DEPOSIT BOX
PACKET PR-1
INSTRUCTIONS FOR COMPLETING FORMS
CAREFULLY READ ALL INSTRUCTIONS BEFORE STARTING TO FILL OUT ANY OF
THE FORMS
Use black or blue ink only. Neatly print the information requested.
Do not use correction fluid/tape on the forms.
This packet contains the following forms:
1. Civil Cover Sheet
2. Ex Parte Petition for Order to Open Safe Deposit Box
3. Index of Exhibits and Exhibit Cover Page
4. Request for Submission
5. Inventory
6. Index of Exhibits and Exhibit Cover Page
Do Not Copy Or File This Page
The penalty for willfully making a false statement under penalty of perjury is a minimum of 1
year, and a maximum of 4 years in prison, in addition to a fine of not more than $5,000.00.
N.R.S. §199.145.
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PR1 VISUAL INSTRUCTIONS
INSTRUCTIONS: STEP 1
Do Not Copy Or File This Page
Complete the Civil Cover Sheet as Shown:
1) Print the Decedent’s
name under the heading
“Plaintiff”.
2) Print your name, address,
and telephone number under
the heading “Attorney”.
3) Check the box labeled
“Other Probate”
3) Date and sign the form.
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DISTRICT COURT CIVIL COVER SHEET
WASHOE
County, Nevada
Case No.
(Assigned by Clerk's Office)
I. Party Information (provide both home and mailing addresses if different)
Plaintiff(s) (name/address/phone):
Defendant(s) (name/address/phone):
Attorney (name/address/phone):
Attorney (name/address/phone):
II. Nature of Controversy (please select the one most applicable filing type below)
Civil Case Filing Types
Real Property
Landlord/Tenant
Unlawful Detainer (UD)
Negligence
Auto (VP)
Other Landlord/Tenant (LT)
Title to Property
Judicial Foreclosure (FC)
Premises Liability (SF)
Intentional Misconduct (IM)
Other Negligence (NO)
Employment Tort (WT)
Malpractice
Other Title to Property (OT)
Medical/Dental (MD)
Other Real Property
Torts
Other Torts
Product Liability (PL)
Insurance Tort (IN)
Other Tort (TO)
Legal (LG)
Accounting (AG)
Other Malpractice (MG)
Condemnation/Eminent Domain (CD)
Other Real Property (RO)
Probate
Probate (select case type and estate value)
Construction Defect & Contract
Construction Defect
Judicial Review/Appeal
Judicial Review
Summary Administration (SU)
Chapter 40 (CQ)
Foreclosure Mediation Case (FO)
General Administration (FA)
Other Construction Defect (CF)
Petition to Seal Records (PS)
Special Administration (SL)
Contract Case
Mental Competency (MT)
Set Aside (SE)
Uniform Commercial Code (UN)
Trust/Conservatorship (TN)
Building and Construction (BC)
Department of Motor Vehicle (DM)
Other Probate (OP)
Insurance Carrier (BF)
Worker's Compensation (SI)
Estate Value
Over $200,000
Nevada State Agency Appeal
Commercial Instrument (CI)
Collection of Accounts (CT)
Other Nevada State Agency (ON)
Appeal Other
Between $100,000 and $200,000
Employment Contract (EC)
Appeal from Lower Court (CA)
Under $100,000 or Unknown
Other Contract (CO)
Other Judicial Review/Appeal (AO)
Under $2,500
Civil Writ
Civil Writ
Writ of Habeas Corpus (HB)
Writ of Mandamus (WM)
Other Civil Filing
Writ of Prohibition (WP)
Other Civil Writ (WO)
Writ of Quo Warrant (WQ)
Other Civil Filing
Compromise of Minor's Claim (CM)
Foreign Judgment (FJ)
Other Civil Matters (GC)
Business Court filings should be filed using the Business Court civil coversheet.
Date
Nevada AOC - Research Statistics Unit
Pursuant to NRS 3.275 \ Rev 3.1 \ July 1, 2014
Signature of initiating party or representative
Form PA 201
Rev 3.1
INSTRUCTIONS: STEP 2
Do Not Copy Or File This Page
Complete the Ex Parte Petition for Order to Open Safe Deposit Box as shown:
A certified copy of the decedent’s death certificate OR other proof of death must be attached as
“Exhibit 1.”
1) Print your name,
address, telephone number,
and email address.
You will be assigned a case
number when you file the
Petition with the Court.
2) Print the Decedent’s
name.
3) Complete pages 1-3
following the instructions
on each page.
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PR1 VISUAL INSTRUCTIONS
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Code: 3615
Name:
__________________________
Address: __________________________
____________________________________
Telephone: __________________________
Email:
__________________________
Self-Represented Litigant
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IN THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
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IN AND FOR THE COUNTY OF WASHOE
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IN THE MATTER OF THE ESTATE OF:
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_______________________________________,
Deceased.
_______________________________________/
Case No. ___________________
Dept. No. PR
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EX PARTE PETITION FOR ORDER TO OPEN SAFE DEPOSIT BOX
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I, a self-represented litigant, allege as follows:
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1. I am the _______________________of Decedent, ____________________________, and
(Decedent’s name)
(Your relationship to Decedent)
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reside at _______________________________________________________________________.
(Your Street address, City, State, and Zip Code)
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2. Decedent died on _________________________, in _____________________________,
(Date, to include month, day, year)
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and on the date of death, Decedent resided at __________________________________________
(Street address and City)
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(County where death occurred)
_________________________________________, Washoe County, Nevada. A certified copy of
DECEDENT’S DEATH CERTIFICATE –OR–
OTHER PROOF OF DEATH is attached
as “Exhibit 1”.
3. Jurisdiction is proper in this proceeding.
4. The names, relationships, ages of minors and residence addresses of all the devisees,
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EX PARTE PETITION – SAFE DEPOSIT BOX
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legatees, heirs, and next-of-kin of Decedent, as known to me, are (include spouse, parents,
siblings, and all children of Decedent, even if estranged or out of State (if address is unknown, write
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unknown)):
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Name
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Address
(1)
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(2)
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(3)
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(4)
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Relationship/Age
(5)
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(6)
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If more room is needed, attach additional sheets.
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5. Decedent, at the time of death, was the holder of a safe deposit box at
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(Name and address of bank)
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The box number is
and the location of the key is:
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6. Check any one or more of the following as the reason(s) for the request:
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I believe Decedent may have executed a Last Will and Testament, but it has not been
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located among the Decedent’s personal effects, and would most probably be in the
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Decedent’s safe deposit box.
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I believe that there may be other documents or items in the box, which will
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assist with the preservation of the Estate.
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Other (please explain):
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_________________________________________________________________________
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EX PARTE PETITION – SAFE DEPOSIT BOX
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_________________________________________________________________________
_________________________________________________________________________
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_________________________________________________________________________
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WHEREFORE, I pray:
1. That the Court make and enter an Order directing the officers of
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(Name of bank)
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to open the safe deposit box rented by
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Decedent, in my presence, for the purpose of inventorying the contents of the box and determining
if the Last Will of Decedent, or any other documents or items which will assist with the
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preservation of the Estate, are contained therein; and
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2. If such Will or similar document is found, directing that it be removed by me and deposited
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with the Clerk of this Court, and that such safe deposit box be then re-locked until such time as
further ordered by this Court.
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I declare, under penalty of perjury under the law of the State of Nevada, that I have read the
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foregoing document and know the contents thereof, and the contents are true of my own
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knowledge, except for those matters stated therein on information and belief, and, as to those
matters, I believe them to be true.
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This document does not contain the Social Security number of any person.
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Date: _________________
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Your Signature: _________________________________
Print Your Name: _________________________________
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EX PARTE PETITION – SAFE DEPOSIT BOX
Do Not Copy Or File This Page
INSTRUCTIONS: STEP 3
Complete the Index of Exhibits and Exhibit Cover Sheet(s) as Shown:
1) Write the exhibit number, number of
pages (not including the Exhibit Cover
Page), and a description for each
exhibit.
If more space is needed, attach
additional sheets.
2) Attach the Index of Exhibits to the
document after the last page of the
document, before any exhibits.
3) For each exhibit, create a numbered
Exhibit Cover Page.
4) Write the exhibit number on the
Exhibit Cover Page.
5) Attach the correct Exhibit Cover
Page to the front of each exhibit.
6) Attach your exhibits in the order
listed on the Index of Exhibits.
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INDEX OF EXHIBITS
Exhibit Number
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
EXHIBIT _____
EXHIBIT _____
EXHIBIT _____
INSTRUCTIONS: STEP 4
Do Not Copy Or File This Page
Complete the Request for Submission as shown:
1) Print your name,
address, telephone number,
and email address.
2) Print the Decedent’s
name.
3) Print your name.
4) Print the date the
Petition was filed.
5) Date, sign, and print
your name.
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PR1 VISUAL INSTRUCTIONS
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Code: 3860
Name:
__________________________
Address: __________________________
____________________________________
Telephone: __________________________
Email:
__________________________
Self-Represented Litigant
5
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IN THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
8
IN AND FOR THE COUNTY OF WASHOE
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IN THE MATTER OF THE ESTATE OF:
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_______________________________________,
Deceased.
_______________________________________/
Case No. ___________________
Dept. No. PR
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REQUEST FOR SUBMISSION
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I,________________________________________________________, request that the
(Print your name)
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Ex Parte Petition For Order to Open Safe Deposit Box that was filed on ___________________
(Date Petition was filed)
be submitted to the Court for decision.
This document does not contain the Social Security Number of any person.
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Date: _________________
Signature:
_________________________________
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Print Your Name: _________________________________
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REQUEST FOR SUBMISSION - SAFE DEPOSIT BOX
INSTRUCTIONS: STEP 5
Filing the Documents
All documents in Probate cases must be electronically filed (E-Filed). To E-File, you must sign
up for an E-Flex account by going to https://wceflex.washoecourts.com.
You will need to scan the original document and upload to E-Flex. E-Flex is available online or
in the Filing Office.
Assistance with E-Filing is available at the Filing Office, Law Library, or Self Help Center. The
Filing Office and Law Library are located on the first floor of the Courthouse at 75 Court Street,
Reno, Nevada, 89501. The Self Help Center is located on the first floor of the Courthouse at One
South Sierra Street, Reno, Nevada, 89501.
Scanner and copy machines are available at the Law Library. There is a per page charge for
copying.
STOP
Once you receive the Court Order, proceed to Step 6.
Do Not Copy Or File This Page
Any additional documents regarding this decedent shall be filed with this case number.
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PR1 VISUAL INSTRUCTIONS
INSTRUCTIONS: STEP 6
Do Not Copy Or File This Page
Filing an Inventory of the Safe Deposit Box
You must complete and file an Inventory of the Safe Deposit Box within 30 days of the date of
the Court’s Order, or as the Order may otherwise state. The Bank will provide you with a copy of
the Inventory Form that they complete at the time of the opening of the box. Attach that Form as
“Exhibit 1” to the Court’s Inventory (SEE INSTRUCTIONS: STEP 3) and file with the Clerk of
Court (SEE INSTRUCTIONS: STEP 5).
1) Print your name, address,
telephone number, and email
address.
2) Print the Decedent’s name
and the case number just as
they appear on all other
documents in this case.
3) Print the date you went to
the bank, the name and address
of the bank, and the Safe
Deposit Box number.
4) Check the correct box. If
contents were found, attach the
Inventory as “Exhibit 1”.
5) Date, sign, and print your
name.
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Code: 1815
Name:
__________________________
Address: __________________________
____________________________________
Telephone: __________________________
Email:
__________________________
Self-Represented Litigant
5
6
IN THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
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IN AND FOR THE COUNTY OF WASHOE
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IN THE MATTER OF THE ESTATE OF:
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_______________________________________,
Deceased.
_______________________________________/
Case No. ___________________
Dept. No. PR
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INVENTORY OF SAFE DEPOSIT BOX
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1. On __________________, I went to ___________________________________________
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(Date of bank visit)
____________________________________, to open and inventory Safe Deposit Box No. _____.
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2.
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(Name and address of bank)
□ NO CONTENTS FOUND – OR – □ CONTENTS FOUND, and the Inventory is
attached as “Exhibit 1”.
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I declare, under penalty of perjury under the law of the State of Nevada, that I have read the
22
foregoing document and know the contents thereof, and the contents are true of my own
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knowledge, except for those matters stated therein on information and belief, and, as to those
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matters, I believe them to be true.
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This document does not contain the Social Security number of any person.
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Date: _________________
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Your Signature: _________________________________
Print Your Name: _________________________________
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INVENTORY SAFE DEPOSIT BOX
INDEX OF EXHIBITS
Exhibit Number
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
Exhibit Number ______
Number of Pages ______
Exhibit Description ____________________________________________________________
EXHIBIT _____
EXHIBIT _____
EXHIBIT _____
Legal Assistance
The information in this packet is provided as a courtesy only. This packet is not a substitute for
the advice of an attorney. Counsel is always recommended for legal matters.
If you do not have an attorney, you are encouraged to seek the advice of a licensed attorney or
visit the Family Court Self Help Center, which is located at One South Sierra Street, Reno, NV.
The Family Court Self Help Center cannot give legal advice but can give information
regarding court procedures.
You may also wish to speak with a lawyer at no cost through the Law Library’s “Lawyer in the
Library” program, or to seek assistance from other free or reduced-cost legal resources in the
area, to include:
LAWYER IN THE LIBRARY
First Floor (to the left of the filing office) of the courthouse located at:
75 Court Street, Reno, NV.
(775) 328-3250
www.washoecourts.com/lawlib
3rd Wednesday Evening of the Month – Arrive by 4:25 p.m.
NEVADA LEGAL SERVICES
204 Marsh Avenue Reno, NV 89509
(775) 284-3491 x 237 – leave message if necessary
http://www.nlslaw.net
WASHOE LEGAL SERVICES
299 S. Arlington Avenue Reno, NV 89501
(775) 329-2727 – leave message if necessary
http://www.washoelegalservices.org
Do Not Copy Or File This Page
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PR1 VISUAL INSTRUCTIONS
The following definitions and explanations are only to be used as general guidance.
The definitions provided do not explain the entire legal meaning or importance of the terms. A private
attorney, licensed to practice in the State of Nevada, or a representative of one of the local legal resource
agencies can provide you with a full explanation of the terms.
Testate:
A person who dies leaving a will.
Intestate:
A person who dies without leaving a will.
Estate:
The possessions, property, and debt left by a person at death.
Heir:
Persons, including the surviving spouse and the state, who are entitled by intestate
succession to the property of a person who has died.
Beneficiary: A broad definition for any person or entity who is to receive assets or profits from an
estate, a trust, an insurance policy or any legal document in which there is distribution.
Devisee:
A person who receives a gift of real property by a will.
Legatee:
A person or organization receiving a gift of an object or money under the terms of the
will of a person who has died.
Personal Representative:
Person(s) who manages the decedent’s estate, including an executor, an administrator, a
successor personal representative, and/or a special administrator.
Intestate Succession:
The inheritance of an ancestor's property according to the laws that are applied when the
deceased does not have a valid will. Chapter 134 of Nevada Revised Statutes.
Inventory:
A description of the decedent’s assets and debts.
An inventory must include all the decedent’s estate, wherever situated, that is subject to
the jurisdiction of the court.
The inventory must contain:
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The entire estate of the decedent.
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A statement of all receivables, partnerships, and other interests, bonds, mortgages,
notes, and other securities for the payment of money, belonging to the decedent,
specifying the name of the debtor in each security, the date, the sum originally
payable, any endorsements with their dates, and the sum which, in the judgment of
the appraiser, may be collectible on each debt, interest or security.
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Mortgages of any kind on the real and personal property of the estate.
The inventory must show:
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So far as can be determined, what portion of the estate is community property and
what portion is the separate property of the decedent.
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An account of all money belonging to the decedent that has come into the
possession of the personal representative.
Do Not Copy Or File This Page