Page 1 THE FOLLOWING PROPERTY LISTING SHEETS AND DEBT LISTING SHEETS M UST BE FULLY COMPLETED. AS YOU FILL THESE OUT PLEASE REMEMBER: A. REAL PROPERTY INTERESTS MUST ALL BE LISTED, EVEN IF YOU ARE SELLING OR BUYING ON A CONTRACT FOR DEED OR SOME OTHER PURCHASE ARRANGEMENT. YOU SHOULD ALSO LIST ANY CIRCUMSTANCES IN WHICH YOU MAY BE LISTED ON THE TITLE AS AN OWNER, EVEN THOUGH YOU HAVE NO REAL OWNERSHIP INTEREST, SUCH AS JOINT TENANTS WITH PARENTS FOR INHERITANCE PURPOSES. B. VALUES NEEDED ARE MARKET VALUES AND FOR MOST PERSONAL PROPERTY THIS IS GARAGE SALE VALUE. MARKET VALUE IS THE AMOUNT WHICH YOU COULD GET FOR THE PROPERTY IN ITS CURRENT CONDITION AND LOCATION. C. PLEASE NOTE OWNERSHIP: Husband, wife, joint. REAL PROPERTY: NONE Address Legal Description Nature of Interest (Joint, Entireties, Partner, etc.) Fair Market Payoff on Mortgage Creditor Name 1. Cash on Hand $
Page 2 2. Deposits of M oney (checking, savings, financial accounts) Name Address Type owner Amount 3. Security Deposits (Landlords, utilities, etc.) Name Address Reason owner Amount 4. Household Goods (if the garage sale of an item is more than $100 please itemize, otherwise build groups of items with garage sale s of between $50 and $150) Description Location owner
Page 4 Description Location owner
Page 5 5. Books, Pictures, Art Objects and Collections. Description Location 6. Wearing Apparel Description Location 7. Jewelry Description Location
Page 6 8. Fireams, sport equipment and other hobby equipment: Description Location 9. Cash of other in Insurance policies Type of Policy Insurance Co. Name & Address Face Cash 10. Annuities Company and Policy Number Beneficiary
Page 7 11. Interests in Educational IRAs. Company and Account Number Beneficiary 12. Retirement Interests, 401K Plans, Profit Sharing Plans and IRAs. Description Entity Holding 13. Stock & other Interests in Companies Description Location
Page 8 14. Interest in Partnerships: Description % ship 15. Government & Corporate Bonds. Description Location 16. Accounts Receivable. Obligor Name & Address 17. Alimony or family support - past due Obligor Name & Address
Page 9 18. Other debts owing to debtors, including tax refunds. Obligor Name & Address 19. Equitable and future interests, life estate, interests in trusts, right and powers. Description of right or interest 20 and 21. Contingent and unliquidated claims (such as personal injury claims) Nature of claim and Name and address of obligor 22. Patents, copyrights, and other intellectual proprty: Description of right or interest
Page 10 23. Licenses, franchises and other general intangibles: Description of right or interest 24. Customer lists or other compilations containing personally identifiable information: Description of right or interest 25. Automobiles, trucks, trailers and other vehicles. Description VIN # Location
Page 11 26. Boats M otors & Accessories. Description Registration # Location owner 27. Aircraft and accessories: Description Registration # Location owner 28. Business Office Equipment, Furnishings & Supplies Description Location
Page 12 29. M achinery, fixtures, equipment and supplies (not listed in 29 above) Description Location 30. Inventory held for sale: Description Location 31. Livestock, poultry and all animals. Description Location
Page 13 32. Crops. Description Location 33. Farming equipment and implements. Description Location 34. Farm supplies, chemicals and feed. Description Location
Page 14 35. Other personal property not listed above. Description Location