IN THE CHANCERY COURT OF HAMILTON COUNTY, TENNESSEE * IN THE MATTER OF THE ESTATE OF * N0. __________________ * * PART 2, PROBATE DIVISION * INVENTORY Pursuant toTennes see Code Annotated 30-2-301, the undersigned personal representative(s) report the following is a complete and accurate inventory of the probate estate of the deceased: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ I (WE) DO SOLEMNLY SWEAR (OR AFFIRM), that this list is a complete and accurate inventory of all the goods and chattels, rights, and credits of the captioned estate which have come to my knowledge or possession, or into the hands and possession of any person for me, to the best of my knowledge and belief so help me God. ____________________________________ ____________________________________ ____________________________________ ____________________________________ Sworn to and subscribed before me, on this ____ day of ____________, 20___. My Commission Expires:__________________ ____________________________________ NOTARY PUBLIC As attorney for the estate as required by LRCP 18.02, I approve the foregoing inventory and certify that a true copy of this inventory has been duly served on all parties at interest by delivering the same or mailing to each interested party as follows: ____________________________________ ATTORNEY FOR ESTATE BPR# ____________________________________ ____________________________________ [Form 038, Rev. 2002.01.11]