Form Mf-43 - Financial Statement - Kansas Department Of Revenue Page 2

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REAL ESTATE - MARKET VALUE - DESCRIBE AND VALUE SEPARATELY
MORTGAGES ON REAL ESTATE
DESCRIPTION
COUNTY
STATE
PRESENT
TITLE IN NAME OF
AMOUNT OF
WHEN DUE
VALUE
ENCUMBRANCE
HOMESTEAD
$
$
FARM PROPERTY
CITY PROPERTY
STATION LOCATION
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
TOTAL
$
$

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