IN THE WARREN COUNTY, OHIO COMMON PLEAS COURT PROBATE DIVISION IN THE MATTER WRONGFUL DEATH TRUST TESTAMENTARY TRUST SPECIAL NEEDS TRUST OTHER OF: _________________________________________________________, Deceased, Grantor for the Benefit of: _______________________________________________________________ CASE NO. _______________________ TRUSTEE'S INVENTORY [R.C. 2109.58] Description of Real and Personal Property $ Value [use additional pages, if necessary] _____________________________________________________________________________ RECAPITULATION Total Value of Personal Estate ______________________________ Total Value of Real Estate __________________________________ Yearly Rent of Real Estate _________________________________ Other Annual Income _____________________________________ Total ___________________________________________________ $__________________ $ _________________ $ _________________ $ _________________ $ _________________ ______________________________________ Trustee WCPC Form 50.5 Eff. 04/04/11 American LegalNet, Inc. www.FormsWorkFlow.com