EXHIBIT A: INVENTORY OF ESTATE (1) Date of Appointment as Conservator:__________________________________________ SUMMARY: (14) Total Liquidated Assets (15) Plus Total Physical Property Assets (16) Minus Total Debts (17) Total Value of Estate $___________ $___________ $___________ $___________ (18) $___________ . 00 0 . 00 0 . 00 0 . 00 0 Estimated Value of Jointly Owned Assets LIQUID PROPERTY ASSETS: Joint Interest (2) Cash: (3) Bank and Other Accounts: _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ (4) Total Liquid Property Assets: Value $___________ PHYSICAL AND REAL PROPERTY ASSETS: Joint Interest (5) Real Estate: ADDRESS: _______________________________ Legal Description:__________________________ _________________________________________ ADDRESS: _______________________________ Legal Description:__________________________ _________________________________________ (6) Household Goods: _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ (7) Motor Vehicles: MAKE:___________________________________ Model:____________________________________ Lienholder:________________________________ VIN:______________________________________ Value . 00 0 10/03/06 $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com MAKE:___________________________________ Model: ___________________________________ Lienholder:________________________________ VIN:_____________________________________ $___________ MAKE:___________________________________ Model: ___________________________________ Lienholder:________________________________ VIN:_____________________________________ $___________ (8) Other Items: _________________________________________ _________________________________________ _________________________________________ _________________________________________ $___________ $___________ $___________ $___________ (9) Total Physical and Real Property Assets: $___________ (10) DEBTS: Joint Interest Amount . 00 0 _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ (11) Total Debts: $___________ (12) JOINT ASSETS OR DEBTS: _______________________________ _______________________________ _______________________________ _______________________________ Other Party’s Name ______________________ ______________________ ______________________ ______________________ Relationship ____________ ____________ ____________ ____________ (13) DEBTS OWED TO THE WARD: _______________________________ _______________________________ _______________________________ _______________________________ Debtor’s Name ______________________ ______________________ ______________________ ______________________ Amount $___________ $___________ $___________ $___________ . 00 0 10/03/06 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com