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Instructions for Filing a Financial Disclosure Statement for Calendar Form
Information
Name:
Address:
City:
State:
Zip
Occupation:
Phone:
Current Liabilities
Notes Payable (Secured)(Schedule F)
Notes Payable (Unsecured)(Schedule G)
Real Estate Mortgages Payable (Schedule H)
Auto Loans (Schedule I)
Unpaid Taxes and Interest
Due to Brokers
Open Accounts
Credit Cards (List):
Other:
Total Liabilities
Total Assets
TOTAL OF ALL ASSETS
LESS TOTAL OF ALL LIABILITIES
NET WORTH
Individual Income Information (Annual)
Joint Party Income Information...
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