Form 16-14
(Subrule 16-14(1))
COURT FILE NUMBER / ______COURT OF QUEEN’S BENCH FOR SASKATCHEWAN
JUDICIAL CENTRE / ______
IN THE ESTATE OF / ______DECEASED
STATEMENT OF PROPERTY
(If the application is for an initial grant of probate or administration in Saskatchewan [see subrule
16-14(1)], this statement should show all the real and personal property of the deceased at the time of death at its value at the time of death.)
(If the application is for a second grant in Saskatchewan [see subrule 16-14(3)], this statement is limited to the property unadministered or to be administered in Saskatchewan at its value at the time of the application for grant.)
(If the application is for a resealing in Saskatchewan [see rule 16-34], this statement should show all of the property owned in Saskatchewan by the deceased at the time of death at its value at the time of the application for resealing.)
PART I
SCHEDULE OF ASSETS
A Real Estate
Legal description:
Value at date of death: $ ______
Less amount owed on loan, mortgage or
agreement for sale (in excess of any amount
of insurance payable to discharge the loan,
mortgage or agreement): $ ______
Deceased's Equity: $ ______
B Mortgages (Payable to deceased)
Dated: ______
Parties: ______
Terms: ______
Balance owing at date of death: $ ______
C Agreements for Sale (Payable to deceased)
Description: ______
Dated: ______
Parties: ______
Terms: ______
Balance owing at date of death: $ ______
D Stocks and Shares
Company: ______
Certificate No.: ______
Number of shares: ______
Value at date of death: $ ______
E Bonds and Debentures
Number: ______
Coupons due or accrued interest: $ ______
Face value: $ ______
Total value: $ ______
F Bank Accounts, Cash on Hand
1 Bank: ______
Branch: ______
Savings Account No.: ______
Accrued interest: $ ______
Principal: $ ______$ ______
Chequing Account No.: ______$ ______
2 Cash on Hand: $ ______
3 Uncashed Cheques Payable to the Estate
(with particulars): $ ______$ ______
G Life Insurance Payable to the Estate
Company: ______
Policy Number: ______
Value at date of death: $ ______
H Annuities, Pensions, Superannuation, RRSPs,
Payable to the Estate
Description: ______
Value at date of death: $ ______
I Miscellaneous Personal Property:
Description: ______
Value at date of death: $ ______
TOTAL VALUE OF ESTATE: $ ______
PART II
A Property Held Jointly (with right of survivorship)
1 Real estate
Legal description: ______
Registered owners: ______
Value at date of death: $ ______
2 Bank accounts
Description: ______
Joint owners: ______
Value at date of death: $ ______$ ______
B Insurance (Payable to a named beneficiary)
Company: ______
Policy Number: ______
Designated Beneficiary: ______
Value at date of death: $ ______
C Pensions and Annuities (Payable to a named
beneficiary)
Description: ______
Designated Beneficiary: ______
Value at date of death: $ ______
D Real Property Outside Saskatchewan
Legal description: ______
Location: ______
Value at date of death: $ ______
E Personal Property Outside Saskatchewan
(Where deceased died domiciled outside Saskatchewan)
Description: ______
Value at date of death: $ ______