Fill and Sign the North Carolina Judicial System the North Carolina Judicial Branch Form

File No. STATE OF NORTH CAROLINA TOTAL FROM ATTACHMENT, IF ANY Name Of Decedent PART I. PERSONAL PROPERTY OF THE TRUST $ $ $ (Over) INVENTORY FOR TRUST UNDER WILL In The General Court Of Justice Superior Court Division Before The Clerk County IN THE MATTER OF THE TRUST UNDER THE WILL OF: G.S. 36C-2-209 AOC-E-511, Rev. 7/06 © 2006 Administrative Office of the Courts Accounts (List bank, etc., each account no. and balance.) 1. I, the trustee, being duly sworn, say that to the best of my knowledge the following is a just, true and perfect inventory of all the real and personal property of the trust named above, which have come into my hands. Value IMPORTANT: File within three (3) months after qualifying as trustee. Give values as of date of qualifying and continue on additional sheet if necessary. Stocks And Bonds (Identify each type of security and give market value of all securities of that type, e.g., 100 shares of XYZ Corp. common stock @ 37-1/4...$3,725.) 2. Cash And Undeposited Checks On Hand 3. 4. All Other Personal Property (TYPE OR PRINT IN BLACK INK) TOTAL PART I. Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court TOTAL PART II. Signature Of Co-trustee, If Any $ $ Signature Of Person Authorized To Administer Oaths SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Date My Commission Expires Notary Notary Date My Commission Expires Date Signature Of Person Authorized To Administer Oaths SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Signature Of Trustee SEAL SEAL AOC-E-511, Side Two, Rev. 7/06 © 2006 Administrative Office of the Courts Interests In Real Estate (List all real estate including entireties property and life estate; give legal description of each parcel, and give fair market value of beneficiary's interest.) PART II. REAL PROPERTY Value County Where Notarized County Where Notarized