Adapted from National Guardianship Association form.
Name & Address of Institution: ___
Safe Deposit Box #: ___ Date of Inventory: ___/___/___
Institution Employee Present for Inventory: ___
CONTENTS OF SAFE DEPOSIT BOX
Cash (U.S. Currency) $___
Coins, etc. other than Standard U.S. Currency
Description: ___
Stocks, Bonds, Securities
Name Description Quantity
Description:___
Description:___
Will: _____ Dated: _____/_____/_____
Social Security Card: ___
Birth Certificate: ___