Personal Financial Disclosure Statement Page 5
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7SECTION V.
INTERESTS IN IMMOVABLE PROPERTY
If you or your spouse, either individually or collectively, have an interest in any parcel of immovable
property that exceeds $2,000 in fair market value or use value, as determined by an assessor for purposes of
ad valorem taxes, complete this Section.
See Rules of the La. Supreme Ct., Part N, Rule XXXIX, Section 2(C)(6).
If none, check the “NOT APPLICABLE” box and skip to the next Section.
NOT APPLICABLE
1. Information Relates to:
Filer
Spouse
Both
2. Location of Immovable Property
Parish/County
State
3. Brief Description of Immovable
Property
4. Fair Market Value or Use Value:
LESS THAN $5,000
$5,000 - $24,999
$25,000 - $100,000
MORE THAN $100,000
1. Information Relates to:
Filer
Spouse
Both
2. Location of Immovable Property
Parish/County
State
3. Brief Description of Immovable
Property
4. Fair Market Value or Use Value:
LESS THAN $5,000
$5,000 - $24,999
$25,000 - $100,000
MORE THAN $100,000
SECTION VI.
INVESTMENT SECURITIES
If you or your spouse hold(s) any investment securities having a value exceeding $5,000, complete this
Section. You do not need to disclose any information concerning any property held and administered for
any person other than you or your spouse under a trust, tutorship, curatorship, or other custodial instrument.
See the Instructions Section for items that should not be reported in this Section.
See Rules of the La. Supreme Ct., Part N, Rule XXXIX, Section 2(C)(7).
If neither you nor your spouse holds such investment securities, check the “NOT APPLICABLE” box and
skip to the next Section.
NOT APPLICABLE
1. Information Relates to:
Filer
Spouse
Both
2. Name of Investment Security
3. Brief Description of Investment
Security
1. Information Relates to:
Filer
Spouse
Both
2. Name of Investment Security
3. Brief Description of Investment
Security
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Form PFDS for Judges (Adopted February 2011)
Page ____ of ____
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