STATE OF WISCONSIN, CIRCUIT COURT, 1815 PR

User Manual: 1815

Open the PDF directly: View PDF .
Page Count: 1

PR-1815, 03/12 Estate Receipt (Informal Administration or Formal Administration) §§863.41, 865.21, and 867.21, Wisconsin Statutes

This form shall not be modified. It may be supplemented with additional material.

STATE OF WISCONSIN, CIRCUIT COURT, COUNTY

IN THE MATTER OF THE ESTATE OF

Amended

Estate Receipt

Informal Administration

Formal Administration

Case No.

1. I received from the personal representative special administrator of this estate the following:

Describe items of property or monies received

2. This is a partial full distribution of my share of the estate.

3. This is a full satisfaction of the claim filed by in the amount of $ .

4. This is a distribution of funds to trust. [Identify Trust] .

5. Other: .



Signature

Name Printed or Typed

Address

Date

Form completed by: (Name)

Address

Telephone Number

Bar Number (If any)