Personal Financial Statement Page 5

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Schedule E - Primary Residence
Address & Type of
% of
Date
Mortgage
Monthly
Title in Name of
Original Cost
Market Value
Payment
Property
Ownership
Acquired
Balance
Additional Liens Against Primary Residence held by:
1
2
3
TOTAL
$0
$0
NET UNENCUMBERED MARKET VALUE
$0
Schedule E - Real Estate Owned - Investment
Monthly
Address & Type of
Date
Original
Monthly
Mortgage
Title in Name of
Market Value
Income
Property
Acquired
Cost
Payment
Balance
(if Rental)
$0
Total
$0
$0
$0
Schedule E - Partial Interest in Real Estate Equities
Address & Type of
Date
Monthly
Mortgage
Monthly
Title in Name of
% Owned
Cost
Market Value
Property
Acquired
Payment
Income
Balance
Total
$0
$0
$0
$0
Schedule F -Other Assets And Personal Property
Estimated
Estimated
Automobiles
Other Vehicles (RV's, Boats, ATV's, etc.)
Personal Property
Estimated Value
Value
Value
Furniture:
Year:
Make/Model:
Year:
Make/Model:
Length:
Jewelry
Equipment:
Other (list:)
Total Autos:
$0
Total Other Vehicles:
$0
Total Other Property:
$0
Total Personal Property:
$0
Page 4 of 5
Schedule G - Notes And Loans Payable to Banks and Others (Exclude RE Loans if listed above)

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