SUPERIORCOURT Unit InreGuardianshipof: STATEOFVERMONT PROBATEDIVISION DocketNo.: INVENTORYofRESPONDENT'SPROPERTY INSTRUCTIONS: (PLEASE READ CAREFULLY) List all real and personal property of respondent. Give the fair market value as of the date of your appointment as Guardian. If you used an appraiser, the name and address of each appraiser and the items appraised must be attached to this inventory. Real estate descriptions must include the type of deed, Grantor(s) and Grantee(s), date of execution, Book and Page numbers; and Town and State where recorded. Bank accounts should be identified by name of bank, type of account, account number, and balance. Other investment accounts should be similarly identified. Any liens should be identified by the name of the lienholder and approximate amount owed, within the property description. The inventory must be signed and notarized, the original filed with the Court, and copies sent to all interested persons. A Certificate of Service, must be filed with the Court. Item No. Description of item Fair Market Value Mortgage or Lien TOTALS FROM PAGES 2 AND 3 TOTAL Inventory Sheet 1_ of ____. PG82 ­ Inventory of Respondent's Property (09/2014) Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com  Item No. Description of item Fair Market Value Mortgage or Lien TOTAL PAGE 2 Inventory Sheet ___ of ____ PG82 ­ Inventory of Respondent's Property (09/2014) Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com  Item No. Description of item Fair Market Value Mortgage or Lien TOTAL PAGE 3 Use more sheets if necessary. I hereby declare that this inventory is complete and accurate to the best of my knowledge and belief. Signature of Guardian Printed Name Date Signed and sworn to before me: Date Signature of Notary Public Expiration Date Appraisal Information If any of the listed items were appraised, list item #, appraiser's name and address. Item # Appraiser's Name Appraiser's Address Inventory Sheet _ of ____. PG82 ­ Inventory of Respondent's Property (09/2014) Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com