Exhibit C-Inventory Of Estate

EXHIBIT C: INVENTORY OF ESTATE (1) Accounting Period Opening Date: (14) (15) (16) (17) (18) SUMMARY: Total Non-Property Assets Plus Total Property Assets Minus Total Debts Total Value of Estate Estimated Value of Jointly Owned Assets Joint Interest [] [] [] [] [] [] [] [] [] [] [] (4) Total Non-Property Assets: PROPERTY ASSETS: (5) Real Estate LOCATION: Legal Description: LOCATION: Legal Description: (6) Household Goods: Joint Interest [] [] [] [] [] [] [] [] (7) Motor Vehicles: MAKE: Model: Lienholder: Last four digits of VIN: [] $ $ $ $ $ $ $ $ $ Closing Date: $ $ $ $ $ Value $ $ $ $ $ $ $ $ $ $ $ $ Value NON-PROPERTY ASSETS: (2) Cash: (3) Bank and Other Accounts: Page 1 of 2 Revised September 2004B Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.USCourtForms.com MAKE: Model: Lienholder: Last four digits of VIN: (8) Other Items: [] $ [] [] [] [] (9) Total Property Assets: (10) DEBTS: Joint Interest [] [] [] [] [] [] [] [] Other Party's Name $ $ $ $ $ Amount $ $ $ $ $ $ $ $ $ Relationship (11) Total Debts: (12) JOINT ASSETS OR DEBTS: (13) DEBTS OWED TO THE WARD: Debtor's Name $ $ $ $ Amount Page 2 of 2 Revised September 2004B Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.USCourtForms.com