The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

This is a private record. 

ity, State, Zip 

 
Name 

ddress 

hone 

mail 

  A

  C

  P

  E

I am the 

[  ] Guardian/Conservator 
[  ] Attorney for the Guardian/Conservator and my Utah Bar number is _________ 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the matter of the protection for  

____________________________________, 
a minor 

Inventory of Minor’s Estate 

_______________________________ 
Case Number 

_______________________________ 
Judge 

(1) 

Income. (Print the minor’s annual pre-tax income in the appropriate boxes.) 

Source of Income 

Income 

Source of Income 

Income 

Wages 

Interest Income 
Social Security (Do not include 
SSDI or SSI) 
Supplemental Security Income 
(SSI) 
Social Security Disability 
Income (SSDI) 

Education Benefits 

$ 

$ 

$ 

$ 

$ 

$ 

Veteran’s Benefits 

Child Support 

Payments from Civil Litigation  $ 

Victim Restitution 
Public Assistance (Including 
FEP, welfare, etc.) 

Other (Describe) 

Total 

$ 

$ 

$ 

$ 

$ 

$ 

Inventory of Minor’s Estate 

 

Approved Board of District Court Judges September 11, 2013 
Revised April 23, 2018 

Page 1 of 4 

(2) 

Expenses. (Print the minor’s annual expenses in the appropriate boxes.) 

Type of Expense 

Amount 

Automobile (insurance, maintenance, gasoline, loan)  $ 
$ 
Clothing 
$ 
Education 
$ 
Entertainment 
$ 
Health care expenses  
$ 
Health care insurance premiums 
$ 
Public transportation 
$ 
Rent or mortgage 
$ 
Other (Describe) 
$ 
Total 

(3) 

Financial assets. (Attach a copy of the most recent statement.) 

Financial Institution 
(Name & Address) 

Names on the Account 

Current 
Balance  

Description 
Savings Account 

Checking Account 

 

 

 

 

$ 

$ 

Total  $ 

If the minor owns financial assets other than these, complete Schedule A and file it with 
this form. Total amount from Schedule A: $_____________________. 

(4) 

Personal property. 

Description 
Personal Automobile (Year, Make, Model) 

Current Value 

Computers and electronics 

Jewelry, tools, guns 

Clothes and personal effects 

$ 

$ 

$ 

$ 

Total  $ 

If the minor owns personal property other than these, complete Schedule B and file it 
with this form. Total amount from Schedule B: $_____________________. 

(5) 

Real property. If the minor owns real property, complete Schedule C and file it with 
this form.  

Inventory of Minor’s Estate 

 

Approved Board of District Court Judges September 11, 2013 
Revised April 23, 2018 

Page 2 of 4 

Business interests. If the minor owns business interests, complete Schedule D and 
file it with this form.  

Debts owed by the minor. If the minor owes debts, complete Schedule E and file it 
with this form. Total amount owed from Schedule E: $_____________________. Total 
amount of monthly payments: $_____________________. 

Credit cards owned by the minor. If the minor owns credit cards, complete 
Schedule F and file it with this form. Total credit limit from Schedule F: 
$__________________. Total credit available: $_____________________. 

 declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Signature ► 

Printed Name 

 

 

(6) 

(7) 

(8) 

 
Date 

    I

 

 

Inventory of Minor’s Estate 

Approved Board of District Court Judges September 11, 2013 
Revised April 23, 2018 

Page 3 of 4 

 

 

 

 

 

 
Date 

 

Certificate of Service 

I certify that I filed with the court and served a copy of this Inventory of Minor's Estate and any Schedules 
on the following people. 

Person’s Name 

Method of Service 

Served at this 
Address 

Served on 
this Date 

 

 

 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email (Person agreed to service by email.) 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email (Person agreed to service by email.) 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email (Person agreed to service by email.) 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

 

 

 

Signature ► 

Printed Name 

 

 

Inventory of Minor’s Estate 

Approved Board of District Court Judges September 11, 2013 
Revised April 23, 2018 

Page 4 of 4

Inventory of Minor’s Estate

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 4
Fields(s): 98
Average fields per page: 24
Reading Level: Grade 9
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

users1_name__1 was name (1.00 conf)
users1_address_line_one was address (1.00 conf)
city_state_zip was city__state__zip (0.35 conf)
users1_phone_number was phone (1.00 conf)
email was email (0.38 conf)
district_court_utah was in_the_district_court_of_utah (0.34 conf)
page_field__1 was page_0_field_6 (0.31 conf)
judicial_district was judicial_district (0.38 conf)
page_field__2 was page_0_field_8 (0.31 conf)
court_address was court_address (0.42 conf)
inventory_minor_estate was inventory_of_minor_s_estate (0.40 conf)
county was county (0.39 conf)
page_field__3 was page_0_field_12 (0.31 conf)
page_field__4 was page_0_field_13 (0.31 conf)
page_field__5 was page_0_field_14 (0.31 conf)
page_field__6 was page_0_field_15 (0.31 conf)
page_field__7 was page_0_field_16 (0.31 conf)
page_field__8 was page_0_field_17 (0.31 conf)
page_field__9 was page_0_field_18 (0.31 conf)
page_field__10 was page_0_field_19 (0.31 conf)
page_field__11 was page_0_field_20 (0.31 conf)
docket_number was case_number (1.00 conf)
page_field__12 was page_0_field_22 (0.31 conf)
page_field__13 was page_0_field_23 (0.31 conf)
matter_protection was in_the_matter_of_the_protection_for (0.36 conf)
page_field__14 was page_0_field_25 (0.31 conf)
page_field__15 was page_0_field_26 (0.31 conf)
minor was a_minor (0.38 conf)
page_field__16 was page_0_field_28 (0.31 conf)
income_minor_tax_appropriate was income_print_the_minor_s_annual_pre_tax_income_in_the_appropriate_boxes (0.35 conf)
page_field__17 was page_0_field_30 (0.31 conf)
page_field__18 was page_0_field_31 (0.31 conf)
judge was judge (0.39 conf)
page__1 was page_1_of_4 (0.42 conf)
guardian_conservator was guardian_conservator (0.53 conf)
attorney_utah_number was attorney_for_the_guardian_conservator_and_my_utah_bar_number_is (0.44 conf)
total was total (0.32 conf)
current_value was current_value (0.40 conf)
page_field__19 was page_1_field_2 (0.36 conf)
form_total_amount_schedule was this_form__total_amount_from_schedule_a (0.34 conf)
page_field__20 was page_1_field_4 (0.36 conf)
approved_court_judges was approved_board_of_district_court_judges_september_11__2013 (0.51 conf)
page_field__21 was page_1_field_6 (0.36 conf)
form_total_amount_schedule_b was with_this_form__total_amount_from_schedule_b (0.30 conf)
page_field__22 was page_1_field_8 (0.36 conf)
page_field__23 was page_1_field_9 (0.36 conf)
page__2 was page_2_of_4 (0.42 conf)
page_field__24 was page_2_field_0 (0.31 conf)
page_field__25 was page_2_field_1 (0.36 conf)
schedule_form_total_credit_limit was schedule_f_and_file_it_with_this_form__total_credit_limit_from_schedule_f (0.37 conf)
form_total_amount_owed_schedule was with_this_form__total_amount_owed_from_schedule_e (0.45 conf)
page_field__26 was page_2_field_4 (0.36 conf)
page_field__27 was page_2_field_5 (0.36 conf)
page_field__28 was page_2_field_6 (0.36 conf)
amount_monthly_payments was amount_of_monthly_payments (0.33 conf)
page_field__29 was page_2_field_8 (0.36 conf)
page_field__30 was page_2_field_9 (0.36 conf)
page_field__31 was page_2_field_10 (0.36 conf)
total_credit_available was total_credit_available (0.32 conf)
page_field__32 was page_2_field_12 (0.36 conf)
page_field__33 was page_2_field_13 (0.36 conf)
page_field__34 was page_2_field_14 (0.36 conf)
af_f was AFF062 (0.51 conf)
page_field__35 was page_2_field_16 (0.36 conf)
page_field__36 was page_2_field_17 (0.36 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature was signature (1.00 conf)
page_field__37 was page_2_field_20 (0.36 conf)
page_field__38 was page_2_field_21 (0.36 conf)
page_field__39 was page_2_field_22 (0.36 conf)
declare_criminal_stated was i_declare_under_criminal_penalty_under_the_law_of_utah_that_everything_stated_in_this_document_is_true (0.52 conf)
signed was signed_at (0.36 conf)
page_field__40 was page_2_field_25 (0.36 conf)
signature_date was date (1.00 conf)
users1_name__2 was printed_name (1.00 conf)
page__3 was page_3_of_4 (0.42 conf)
page_field__41 was page_3_field_0 (0.31 conf)
page_field__42 was page_3_field_1 (0.36 conf)
page_field__43 was page_3_field_2 (0.36 conf)
page__4 was page_4_of_4 (0.42 conf)
left_home_person_suitable was left_at_home__with_person_of_suitable (0.45 conf)
mail was mail (0.38 conf)
hand_delivery was hand_delivery (0.35 conf)
e_filed was e_filed (0.48 conf)
email_person_agreed_service was email__person_agreed_to_service_by_email (0.42 conf)
left_business_person_charge was left_at_business__with_person_in_charge (0.48 conf)
page_check__1 was page_3_check_6 (0.26 conf)
page_check__2 was page_3_check_7 (0.26 conf)
page_check__3 was page_3_check_8 (0.26 conf)
page_check__4 was page_3_check_9 (0.26 conf)
page_check__5 was page_3_check_10 (0.26 conf)
page_check__6 was page_3_check_11 (0.26 conf)
page_check__7 was page_3_check_12 (0.26 conf)
page_check__8 was page_3_check_13 (0.26 conf)
page_check__9 was page_3_check_14 (0.26 conf)
page_check__10 was page_3_check_15 (0.26 conf)
page_check__11 was page_3_check_16 (0.26 conf)
page_check__12 was page_3_check_17 (0.26 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Inventory of Minor’s Estate

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02