Conservators Inventory {MPC 834}

Docket No. CONSERVATOR'S INVENTORY Conservatorship of: First Name Middle Name Last Name Commonwealth of Massachusetts The Trial Court Probate and Family Court Division Date of Conservator's Appointment Within ninety (90) days after appointment, a Conservator shall file an Inventory in the Court, reporting all property of the Protected Person. Property is reported at values in effect on date of Conservator's appointment. If the Conservator learns of other property after the Inventory is filed, the Conservator must report the additional property in the next account, which is due twelve months after the date of the Conservator's appointment. After completing attached Schedules of Personal Property and Real Estate, insert the total from each Schedule on the line below. Sign and date this Inventory and file in Court. SUMMARY OF ATTACHED SCHEDULES SCHEDULE OF PERSONAL PROPERTY: TOTAL SCHEDULE OF REAL ESTATE: TOTAL I certify that this Inventory contains a complete and accurate report of the Protected Person's personal property and real delivery in hand estate, valued as of the date of my appointment. I delivered a copy of this inventory by or first class mail postage prepaid to the Protected Person and to any parent or guardian who lived with the Protected Person. Date: Signature of Conservator Attorney or Conservator Without Attorney (Address Line 1) (City/Town) (State) (Apt, Unit, No. etc.) (Zip) Primary Phone #: BBO No.: MPC 834 (07/09) American LegalNet, Inc. www.FormsWorkFlow.com page 1 of 3 SCHEDULE OF PERSONAL PROPERTY Item No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Total Value Note: LIST ON THE LINES ABOVE WHERE PROPERTY IS IDENTIFIED ANY OUTSTANDING LOANS OR LIENS AGAINST ANY ITEM AND NOTE OUTSTANDING BALANCES. If necessary, attach additional pages and continue with Item No. 15 etc. until completed. Enter total values of all Personal Property item above, and insert same amount on "Schedule of Personal Property" line on front page of this Inventory. MPC 834 (07/09) American LegalNet, Inc. www.FormsWorkFlow.com page 2 of 3 SCHEDULE OF REAL ESTATE Item No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Total Value Note: INCLUDE ADDRESS AND TITLE REFERENCE FOR EACH ITEM. LIST ON THE LINES ABOVE WHERE THE ADDRESS IS IDENTIFIED ANY OUTSTANDING MORTGAGES OR LIENS AND NOTE OUTSTANDING BALANCES. If necessary, attach additional pages, continuing with Item No. 15 etc. until completed. Enter total values of all Real Estate items above, and insert same amount on "Schedule of Real Estate" line on front page of this Inventory. MPC 834 (07/09) www.FormsWorkFlow.com page 3 of 3