Form 3-604A Statement of Value And Income (General)

• Legal Form Number: Form 3-604A
• Date: 01 January 2012
• Section: Chapter 29A-3, Part 6 Personal Representative,Appointment (Form 3-601A to Form 3-617B)

State of South Dakota In Circuit Court

County of Judicial Circuit

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Estate of
<DECEDENT>
Deceased

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Statement of Value And Income

states:

1. The best estimate of the value of the personal estate of the decedent is $____________.

2 The income expected during the next year from the personal and real estate owned by the decedent is $ ____________.

3. The total of items 1 and 2 above is $ _____________.

Dated ________________.

________________________________

[State of _______________

County of ss.

Subscribed and sworn to before me on ____________________.

____________________________
Notary Public, State of _________
My commission expires:__________

(Seal)]

[State of _______________

County of ss.

, being duly sworn, verifies the statements contained in the application are true to the best...