MARK J. BARTOLOTTA, JUDGE PROBATE COURT OF LAKE COUNTY, OHIO IN THE MATTER OF _____________________________________________________________ CASE NO. _____________________DOCKET__________________________Page_____________ In the Matter of the TRUSTEESHIP OF __________________________________ INVENTORY TRUSTEE'S INVENTORY Inventory of the Real and Personal Estate, with the value of the same, and the value of the yearly rent of the Real Estate belongs to__________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ VALUE DOLLS. CTS. __________________________________________________________________________________ Description of Personal Estate and Value thereof __________________________________________________________________________________ Description and Value of Real Estate and Yearly Rents of Same VALUE DOLLS. CTS. __________________________________________________________________________________ Prepared by Attorney's Name_____________________________________ Address____________________________________________ ___________________________________________________ Phone No.___________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com RECAPITULATION Total Value of Personal Estate $___________________ Total Value of Real Estate $___________________ Yearly Rent of Real Estate $___________________ __________________________________________________________________________________ __________________________________________________________________________________ AFFIDAVIT The State of Ohio,_________________________________County. __________________________________________________________________________________ Trustee of __________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ being duly sworn, says that the foregoing is a full Inventory of the Real and Personal Estate of the said_______________________________, with the value of the same, and the value of the yearly rent "Trust Estate" of said Real Estate, according to the best of_________________knowledge. ____________________________ Trustee ____________________________ Trustee Sworn and subscribed to before me, this________________day of______________________________A.D. 20______ ____________________________ ____________________________ Notary/Deputy Clerk JUDGMENT ENTRY In the Court of Common Pleas, Probate Division_____________________________County, Ohio In the Matter of the ___________________________________, 20______ TRUSTEESHIP OF No.____________________ __________________________________ Orders on Filing Inventory This day_____________________________________________________________________ ____________________________________________________________________as_____________ of______________________________________________________________appeared in open Court and filed______________________Inventory, duly verified, as such___________________________ It is ordered that said Inventory, together with any material proceedings thereon, after being duly examined, be recorded in the records of this office. It is further ordered that said______________ _______________________________________________________________.as such_____________ pay the costs herein, taxed at $____________________ ____________________________ Judge American LegalNet, Inc. www.FormsWorkFlow.com