Sample Inventory of Property (Form 117)

This is a sample. It is important that your completed form is based on your own circumstances
and the estate you are dealing with. If you need more help you should get legal advice.
Form 117 (version 1)
Part 78 rule 10 (1)(a)(iii)
SCR Form 96
ANNEXURE “C”

INVENTORY OF PROPERTY

The estate of Isabella Rose

Late of: Redfern, NSW

Property owned solely by deceased

Description Estimated or known value
Savings Account No. 101-101-101 $33,524.12
Example Bank )
Motor vehicle 2012 Toyota Yaris E $10,500.00
Registration number ABC-123

TOTAL: E$44,024.12

Property owned by deceased as joint tenant with another or others

Description Particulars of other joint Estimated or known value
owner
Real property: 6 Example Edwin James Rose $500,000.00
Street, Redfern NSW
2016
Folio Identifier Lot 101 in
Deposited Plan 10001
Term Deposit Account No. Edwin James Rose $5,682.34
101-000-111
Example Bank

Personal property Edwin James Rose E$10,000.00

including household
furniture

TOTAL: E$515,682.34

This is Annexure ``B'' to the affidavit of Edwin James Rose sworn at Redfern this 1
September 20XX before me.

EJ Rose

Thomas Kensington