Inventory of Property Taken By Temporary Custodian Under AS 12.65.105 On , the following tangible personal property of (date) (name of decedent) was released to the temporary custodian named below, pursuant to an affidavit presented by the temporary custodian as allowed by AS 12.65.105: Description of Property Location Where Property Will Be Taken Additional pages are attached: Signature of Temporary Custodian Type or Print Name Residence Address City Distribution: 1. 2. 3. pages Signature of Person Releasing the Property Type or Print Name Residence Address City State State original to temporary custodian copy to superior court nearest to (and in the same judicial district as) the decedent's legal residence before death copy to person releasing property Probate Rule 9.1(a)(2) American LegalNet, Inc. www.FormsWorkFlow.com P-121 (5/12)(cs) Inventory ­ AS 12.65.105