Fresno — Weblinks

Source: https://fresnosheriff.org/component/weblinks/?task=weblink.go&catid=197:public-administration-helpful-links&id=180:referral-for-pa-estate-administration

FRESNO COUNTY SHERIFF’S OFFICE

OFFICE OF THE PUBLIC ADMINISTRATOR

REFERRAL FOR PA ESTATE ADMINISTRATION

PERSONAL INFORMATION

Decedent's Name:      AKA:      

Birth date:      Birthplace:      SS No.      

Date of Death:       Place of Death:      

Citizenship Status:      Alien Registration No.      

Military Service: None Branch:      

Referring Agency:      Case Worker:      

Address:      Phone:      

MARITAL INFORMATION

Marital Status:      Spouse's Name:      

If Deceased, DOD:      Spouse Date of Birth:      

FAMILY COMPOSITION

Father's Name:      Birthdate:       Contacted

Mother's Name:      Birthdate:       Contacted

Children:       Contacted

      Contacted

      Contacted

Other Relatives: (Give name, address, phone number and relationship.)

      Contacted

      Contacted

      Contacted

      Contacted

All family members waive, decline or are unable to act as the estate representative.

END OF LIFE ARRANGEMENTS:

Funeral Home:       PaidCemetery:       Paid

Last Will (Attach copy)Date Filed:      Original Location:      

Trust (Attach copy)Name:      

Financial Data

Personal Property:

Accounts:

1. Bank:      Branch:

     

Acct. No.     Balance: $    

2. Trust Account:      Contact Person:

     

Phone No.      Balance: $     

Automobile(s):

Make:      Model:       Year:

VIN:      Registered Owner:      

Location:      

Pink Slip in possession: Yes No Keys: Yes No

Real Property (Residence/Land Owned):

Location/Address:      

Description:      

APN:      Insurance Status:      Tax Status:      

Additional Comments: