4B-401

STATE OF NEW MEXICO

IN THE PROBATE COURT

_______________ COUNTY

                                                                                                            No. __________

IN THE MATTER OF THE ESTATE OF

______________________, DECEASED.

INVENTORY¹

I, ___________________________, the personal representative of the estate, have prepared an inventory of the property of the estate.

I am sending a copy of this document to the interested people who have requested it. The inventory is as follows:

Item                                                                Estimated Value            Mortgage

on Date of Deathor Lien

1.         ______________________                $_____________             $___________

2.         ______________________                $_____________             $___________

3.         ______________________                $_____________             $___________

4.         ______________________                $_____________             $___________

5.         ______________________                $_____________             $___________

6.         ______________________                $_____________             $___________

_____________________________________

Signature of personal representative

_____________________________________

Printed name

_____________________________________

Street address

_____________________________________

City, state and zip code

_____________________________________

Telephone number

USE NOTE

1.         See Sections 45-3-706 to 45-3-708 NMSA 1978 for preparation of inventory of property owned by the decedent.