11/30/2016 Form 30 Inventory of Ward's Estate Form 30. [Caption] INVENTORY OF WARD'S ESTATE The undersigned, guardian of the estate of __________________, an incapacitated person, states on oath that to the best of my knowledge and belief, the following is a complete and accurate inventory of all property owned by the ward at the time of my appointment as such guardian, and that the amount set opposite each item of property is its fair market value at the time it came under my control as guardian: REAL ESTATE Legal Description and Encumbrances, Liens, Etc., and Net Value Extent of Ward's Interest Respective Amounts Thereof _________________________ ______________________________ $ ________ _________________________ ______________________________ $ ________ Total value of real estate: $ _________ PERSONAL PROPERTY Household Goods and Personal Effects [This list should include, but not be limited to, furniture, household and yard equipment, clothing, jewelry, etc.] Description Encumbrances, Liens, etc., and Net Value Respective Amounts Thereof _________________________ ______________________________ $ ________ _________________________ ______________________________ $ ________ Other Tangible Personal Property [This list should include, but not be limited to, automobiles and other motor vehicles, farm equipment, livestock, agricultural products, stocks of merchandise, any going business enterprise or interest therein, etc.] Description Encumbrances,Liens, etc., and Net Value Respective Amounts Thereof _________________________ ______________________________ $ ________ _________________________ ______________________________ $ ________ Intangible Personal Property https://courts.arkansas.gov/system/files/form30.html American LegalNet, Inc. www.FormsWorkFlow.com 1/2 11/30/2016 Form 30 Inventory of Ward's Estate [List separately in detail: cash on hand money on deposit, stating names and addresses of depositories bonds, stating names of issuers, interest rates, classes, maturity dates, serial numbers, face amounts, and dates to which interest is paid corporate stocks, stating certificate numbers, names of issuers, classes, and number of shares notes receivable, stating the names and addresses of makers, dates, amounts, interest rates, and dates to which interest paid, balances due, maturities, and security, if any accounts receivable, stating names of debtors, dates of last items and balances due and other intangibles, describing in detail.] Description Encumbrances, Liens, etc., and Net Value Respective Amounts Thereof _________________________ ______________________________ $ ________ _________________________ ______________________________ $ ________ Total value of personal property: $ _______ SUMMARY Total real property: $ _______ Total personal property: $ _______ Total estate: $ _______ The undersigned is not indebted or obligated to the ward except as stated herein. Date: __________, ____. ____________________________ [Signature] [Affidavit] Reporter's Notes to Form 30: Paragraph (a) of Ark. Code Ann. � 2865321 provides that the inventory is subject to the same requirements for the inventory of a decedent's estate. See Ark. Code Ann. � 2849110. Among those requirements is an affidavit. https://courts.arkansas.gov/system/files/form30.html American LegalNet, Inc. www.FormsWorkFlow.com 2/2