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Inventory For Decedents Estate E-505 - North Carolina
| Inventory For Decedents Estate Form. This is a North Carolina form and can be used in Estate Statewide . |
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File No. (TYPE OR PRINT IN BLACK INK) STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division County Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent INVENTORY FOR DECEDENTS ESTATE G.S. 28A-20-1 IMPORTANT: File within three (3) months after qualifying. Itemize and give values as of date of decedents death. Continue on additional sheet if necessary. I, the undersigned personal representative, 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 decedent named above, which have come into my hands or into the hands of any person for me as personal representative of the estate. PART I. PROPERTY OF THE ESTATE 1. Accounts In Sole Name Of Decedent (List bank, etc., each account no. and balance) Value $ 2. Joint Accounts Without Right Of Survivorship (List bank, etc., each account no., balance and joint owners.) % Owned By % Owned By % Owned By % Owned By 3. Stocks And Bonds In Sole Name Of Decedent Or Jointly Owned Without 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 @ 37-1/4...$3,725.) % Owned By % Owned By % Owned By % Owned By % Owned By 4. Cash And Undeposited Checks On Hand 5. All Other Personal Property (See preliminary inventory on application for check list of types of property to list.) TOTAL FROM ADDITIONAL SHEET IF ANY $ SUBTOTAL (Costs apply to this total) $ 6. Real Estate Willed To The Estate a. Real Estate Has Not Been Sold (fair market value at date of death) $ b. Real Estate Has Been Sold (list proceeds of sale) TOTAL PART I. $ AOC-E-505, Rev. 7/01 (Over) 2001 Administrative Office of the Courts <<<<<<<<<********>>>>>>>>>>>>> 2 PART II. PROPERTY WHICH CAN BE ADDED TO ESTATE IF NEEDED TO PAY CLAIMS 1. Joint Accounts With Right Of Survivorship (List each account; give names of other joint Value owners and total amount on deposit in each account; attach copy of deposit contract unless already attached to application.) $ 2. Stocks And Bonds 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 @ 37-1/4...$3,725.) 3. Other Personal Property Recoverable (G.S. 28A-15-10).................................... 4. Real Estate Except Entireties Property, Life Estate And Real Estate Willed To Estate (Give fair market value of decedents interest at date of death.) TOTAL PART II. $ PART III. CLAIMS FOR WRONGFUL DEATH There is is not a potential claim for wrongful death arising under G.S. 28A-18-2. The following attorney, if any, has been retained to file the action; and the civil action, if any, has been filed in the following court or jurisdiction.Name And Address Of Attorney State And County Or Federal District Court Jurisdiction Telephone No. Case No. Signature Of Fiduciary Title Signature Of Co-fiduciary, If Any Title SWORN AND SUBSCRIBED TO BEFORE ME SWORN AND SUBSCRIBED TO BEFORE ME Date Date Signature Of Person Authorized To Administer Oaths 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 SEAL Notary Notary SEAL AOC-E-505, Side Two, Rev. 7/01, 2001 Administrative Office of the Courts
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