Personal Financial Statement Worksheet Page 3
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8SCHEDULE E
REAL ESTATE
* Show Amount of Delinquent Taxes on each Property
under Mortgages. If Due in Installments, Show Amount
and Whether Payment Includes Interest and at What Rate.
TYPE &
TITLE
INCOME
MORTGAGES
LOCATION OF
DATE
IN NAME
PER
ORIGINAL
MARKET
PRESENT
TERMS &
HOLDER OF
PROPERTY
ACQUIRED
OF
MONTH
COST
VALUE
BALANCE
INT. RATE
LIEN
Residence
$
TOTAL TO LINE 6
$
-
0
TOTAL TO LINE 18
$
-
0
SCHEDULE F
FURNITURE, FIXTURES, PERSONAL PROPERTY
Amount Owed
Description and if Amount Owed, to Whom
Original Cost
Market Value
Interest Rate
Jewelry
$
Household Items
TOTAL TO LINE 8
$
-
0
SCHEDULE G
AUTO & TRUCKS
TITLE
LOAN
YEAR/MAKE/MODEL
DATE
IN NAME ORIGINAL MARKET PRESENT TERMS &
HOLDER
ACQUIRED
OF
COST
VALUE
BALANCE INT. RATE
OF LIEN
TOTAL TO LINE 9
$
0
-
TOTAL TO LINE 19
$
-
0
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