700-00030 Inventory (/201) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION U nit Docket No.: In r e : C ase T y p e: E st a te Tr ust G u ar d i a nship I N VENTO R Y INSTRUCTIONS: (PLEASE READ CAREFULLY) List all real and personal estate. Give the fair market value as of the decedendate of death for decedent estates and as of date of fiduciaryppointment for all other cases. If you use an appraiser, the name and address of each appraiser and the items appraised must be attached to this inventory. Real estate descriptions must include type of deed, grantor(s) and Grantee(s), date of execution, Book and Page numbers and Town where recorded. Bank accounts should be identified by name of bank, type of account, and account number, and balance. Other investment accounts should be similarly identified. Any liens should be identified by name of lien-holder and approximate amount owed, within the property description. The inventory must be signed and notarized, the original filed with the court and copies to all interested persons and a certificate of service, filed with the Court. I t em # D escr i p t i on of I t em F a i r M a r k et V a l u e M or t g a ge or L i en American LegalNet, Inc. www.FormsWorkFlow.com 700-00030 Inventory (/201) Page 2 of 2 I t em # D escr i p t i on of I t em F a i r M a r k et V a l u e M or t g a ge or L i en Total I hereby declare that this inventory is complete and accurate to the best of my knowledge and belief. Date Signature of Fiduciary Printed Name Signed and sworn to before me: Ap p r a i s a l I n f orm a t i o n If a n y of the li s t ed i t ems w e re a pp r a i s e d , l i s t i t em #, a pp r a i s a me a n d a dd r e s s . I t e m # A pp r a i ser s Name A pp r a i ser s Addr ess Date Signature of Notary Public Expiration Date Total American LegalNet, Inc. www.FormsWorkFlow.com