File No.
STATE OF NORTH CAROLINA
                                                                           In The General Court Of Justice
                                                County                             Superior Court Division
                                                                                   Before The Clerk
IN THE MATTER OF THE TRUST UNDER THE WILL OF
Name Of Decedent
                                                                           INVENTORY
                                                                          FOR TRUST UNDER WILL
                                                                                                                              G.S. 36C-2-209
IMPORTANT:   File within three (3) months after qualifying as trustee. Give values as of date of qualifying and continue on additional sheet if necessary.
I, the trustee, 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 trust named above, which have come into my hands.
                                          PART  I.PERSONAL PROPERTY OF THE TRUST
1.  Accounts (List bank, etc., each account no., and balance.)                                                                VALUE
                                                                                                                             $

2.   Stocks And Bonds (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)

3.   Cash And Undeposited Checks On Hand

4.   All Other Personal Property

                                                               TOTAL FROM ATTACHMENT, IF ANY                                 $

                                                                          TOTAL PART I.                                      $

                                                               (Over)
AOC-E-511, Rev. 11/19
© 2019 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 beneficiary’s interest.)
                                                                                                                         $

                                                                              TOTAL PART II.                             $
Signature Of Trustee                                                    Signature Of Co-Trustee, 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 My Commission Expires                         Date My Commission Expires
      Notary                                                                                                                Notary
                     County Where Notarized                             County Where Notarized
      SEAL                                                                                                                  SEAL

AOC-E-511, Side Two, Rev. 11/19
© 2019 Administrative Office of the Courts