File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent Name And Address Of Bank Or Institution INVENTORY OF CONTENTS OF LOCK BOX G.S. 105-24Name(s) Of Renter Lock Box No. Date Of Inventory The following is a true inventory of the contents of the lock box identified above to which the decedent had access and which was opened in our presence. Signature Of Clerk Of Superior Court Or Representative Signature Of Representative Of Bank Or Institution Signature Of Representative Of Family Signature Of Attorney Or Accountant Address Address City, State, Zip City, State, Zip INVENTORY (Print Or Type) AOC-E-520, New 8/97 (Replaces AOC-E-900M) Original-File Copy-Bank or Institution Copy-Family Rep. 1 Copy-Revenue 1997 Administrative Office of the Courts (Use reverse side and additional sheets if necessary) >>>> 2 INVENTORY(Print Or Type) AOC-E-520, Side Two, New 8/97 (Replaces AOC-E-900M) 1997 Administrative Office of the Courts