File No.
STATE OF NORTH CAROLINA
                                                                                                       In The General Court Of Justice
                                                County                                                 Superior Court Division
                                                                                                                    Before The Clerk
        IN THE MATTER OF THE ESTATE OF
Name Of Minor/Incompetent 
                                                                                                       INVENTORY
                                                                                       FOR GUARDIANSHIP ESTATE
                                                                                                                                    G.S. 35A-1261
IMPORTANT:   File within three (3) months after qualifying as guardian. Give values as of date of qualifying. Continue on additional sheet if necessary.
I, the undersigned guardian, being duly sworn, say that to the best of my knowledge the following is a just, true, and perfect inventory of 
all the real and personal property of the minor/incompetent named above, as of the qualification date.
                                           PART  I.PERSONAL PROPERTY OF THE ESTATE
1.  Accounts In Sole Name Of Minor/Incompetent (List bank, etc., account type, and balance. Do not list account nos.)  VALUE
                                                                                                                      $

2.  Joint Accounts (List bank, etc., account type, balance, and joint owners. Do not list account nos.)

3.   Stocks And Bonds In Sole Name Of Minor/Incompetent Or Jointly Owned With Right Of Survivorship 
(Identify each type of security and give market value of all securities of that type, e.g., 100 shares of XYZ Corp. 
common stock at 37-1/4...$3,725.)
                                                                                                       % Owned
                                                                                                       % Owned
                                                                                                       % Owned
                                                                                                       % Owned
                                                                                                       % Owned
4.  Cash And Undeposited Checks On Hand

5.   Annuity, Pension Or Retirement Benefits, Social Security, Disability, Injury Settlement Or Other Periodic 
Payment (Identify each payor and annual amount.)
                                                                                       $

                                           TOTAL NO. 5 (To assist in bond calculation) $
6.   All Other Personal Property

                                                              TOTAL FROM ATTACHMENT, IF ANY                           $
                                                              TOTAL PART I.            (Costs apply to this total)    $
NOTE TO CLERK: Review bond amount based on the information on Part I, including the information from No. 5.
                                                              (Over)
AOC-E-510, Rev. 6/21
© 2021 Administrative Office of the Courts

                                               PART II. REAL PROPERTY
Interests In Real Estate (List all real estate, including entireties property and life estate; give legal description of   VALUE
each parcel and give fair market value of minor’s/incompetent’s interest.)
                                                                                                                         $

                                                                                                TOTAL PART II.           $
Signature Of Guardian                                                     Signature Of Co-Guardian, If Any

SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME                                SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME
Date                  Signature Of Person Authorized To Administer Oaths  Date                   Signature Of Person Authorized To Administer Oaths

      Deputy CSC       Assistant CSC           Clerk Of Superior Court          Deputy CSC        Assistant CSC            Clerk Of Superior Court
                      Date Commission Expires                             Date Commission Expires
      Notary                                                                                                                Notary
                      County Where Notarized                              County Where Notarized
      SEAL                                                                                                                  SEAL

AOC-E-510, Side Two, Rev. 6/21
© 2021 Administrative Office of the Courts