MINNESOTA PROBATE DATA E-FORM

Your E-mail address: (required)
Your Name: (required)
Your Telephone Number:
Your Address:

1. Decedent's name:

2. Decedent's Address:

3. Name of Surviving Spouse:

4. Decedent was born: , at (City, state)

5. Decedent died on: , at (City, State)

6. Legal description of any real property owned by decedent in the State of Minnesota:

The best source for the legal description is a copy of the deed by which the Decedent received title to the property.
Fax a copy of the deed, if available, to (763)780-1735.

Property Adress:
City:
County:
Single Family Condominium Townhouse

7. List the names and addresses of the Decedents children and other persons who may be interested in this proceeding ,
and the ages of any such persons who are minors.
Name: Age: Relationship:
Address:
Name: Age: Relationship:
Address:
Name: Age: Relationship:
Address:
Name: Age: Relationship:
Address:
Name: Age: Relationship:
Address:
Name: Age: Relationship:
Address:

8. Is there a valid Will? Yes No

9. Where is the Will located? (City, State)

10. When was the Will signed?

11. Who is named Personal Representative in the Will?

12. Is the named Personal Representative ready and willing to serve?
Yes No

13. Does the named Personal Representative have any adverse credit history?
Yes No

14. Does the named Personal Representative expect to receive compensation in
exchange for serving as the Personal Representative of the Decedent's estate?
Yes No

Probate Assets Non-probate Assets

Homestead $ Joint Tenancy $

Other Real estate $ Insurance $

Cash $ Other $

Securities $ Approximate $

Other $ Indebtedness $

Probate Assets are assets that are titled in the name of the Decedent alone, and there are no “payable
on death”, or other beneficiary designations for such assets.

Non-Probate Assets are all other assets, including those which are owned jointly with someone else,
and those which have beneficiary designations or are payable on death to some other person.