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TO THE HONORABLE
!NVENTORY
JUOGE OF THE PROBATE COURT OF SAID STATE AiJb
r:~~c b
6bu~T+:
The f~ng is a true ;,~d co.,... lete in.ventory of the estate, Q6t~G-1~I51rt?11PirsR!ull.~f
. .,. { F' lr/?' . ~ ~
, .{ ' .• f 'C. I)q';i~Hgtin9 ' .. ~
I ••.•...~'f"
L. ... __ ....

~le·C ':~
~ ......•••••••• ~ J -

(D~c~a~ed), by .
(Aammlstrator) (Executor):
eYe ~Ht Jo\.{
iTEM . 1
1.
R.EAL ES.TA"IE. ~nclude.h.ad.d.ressand c.ounty where focated},~L.c~~lb
Parcel One: _
Parcel Two:
:J/10
...
5 e rpa.rd Courrj Sihne AAotJrnUin IGPr
Parcel Three:

TOTAL APPROXIMATE VALUE OF REAL PROPERTY


00
2. PERSONAL PROPERTY:
A. Bank Accounts (name of financial institution and account number):

I} Savings:
a. ri(:::,'\ v n (0 n
.j. ~{ 1'\ .• - /'tee\
A.J. . '30:::::>\ 00 -=) "~ Z '-1/10
'f I' r'C
.$,
----.----.-
I •
---- I
b. _

2) ;heCking: rust- - !teet !..o\- 053 - 4-


b. _
3) Certificate of deposit (name of institution and amount):
a. .__. - _
b. ~ __ ._. _. _

B. Stoc~
1) ._,..s..icomp.a.'1Y.an~n~mP,er?f
.-Llc:_Ker reae
s¥r
[-cA..
2) __ . . . _
3} _._. _
C. Vehicles (autos, boats, trucks, etc.):
1) ~_. .__. ._. -----.-- __ . _
2)

O. M
Other personal property
ISC.e..I\tt. neal)and<;persona!
hbU5eho\
effects: d
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3. PROCEEDS FROM SETTLEMENT OF CLAIM:
Gross amount of settlement
Approved encroachments/expenses (-)
TOTAL paid to estate
TOTAL approximate value of personal property
Amount of bond posted previously
Amount of additional bond posted herewith
Number of attached additional pages:

sub~~~ore methiS!t:f.i . jAOMINISTAA TOA)


.~
.,\' a.URAI ""
V_~f'l~i.'J,_ ,200Z- i
JERYLROSH
-" Exercising the jurisdiction of the court

pursuant to Order of Judge ,on Qu"",s,~


THAT THE FOREGOI~~O~~~~YO.C.G.A E R~~~~~~3_