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, ~. ~ SCHEDULES <br />No. 1. Banking Relations. (A list of all my bank savings and loan accounts.) <br />Nome and location Cash Balance Amount of <br />loan Maturity of <br />loan How EndQrsad, Guoronteed or Second <br />Allied Bank-Deer Park s 000 s Mo. CD <br />First Cit -Bellaire 2.2 Auto- 1 3.0 Remainin <br /> as of 2-1- ~ <br /> <br /> <br />No. 2. Accounts, Loans and Notes Receivable. (A list of the largest amounts owing to me.) <br />Nams and Address of Debtor Owing I Ags of Dsbt I Deuription or Nature of Debt Description of Security Held D ExP y~ "t <br />No. 3. Life Insurance. <br /> <br />Nome of Person Insured <br />Name of Beneficiar <br />Y <br />Name of Insurance Co. <br />T e of Polic <br />YP y <br />face Amount <br />of Policy Total Cash <br />Surrender <br />Value Total leans <br />A~ainst <br />olicy Amount of <br />Yeorl <br />Premium <br />Is Poliq <br />Assignsdi <br />Ames R. Rosier C nthia Rosie Life of Term 0000 -0- -G- 00 No <br /> America <br />Same Same Same Whole 0000 4 UO -0- 12 No <br />Same Same Southwestern Whole 10000 L100C -0- 1~4 No <br />r, <br />Jc <br />No. 4. Other Stocks and Bonds. <br />Face V°lus Bonds <br />No. Stock Shares Descri Lion of Securit <br />P y Re istered in Name of <br />9 Cost Prssent <br />Market Value Income Received <br />last Ysor If Plsdged <br />Stots ro Whom <br /> <br /> <br /> <br /> <br /> <br />No. 5. Real Estate. The legal and equitable title to all the real estate listed in this statement is solely in the name of the undersigned, <br />except as follows: <br /> <br />Description or <br />Dimensions or <br />Improvements <br />Mortgages Dus Dates and <br />f <br />A <br />Assessed Present <br />M <br />k Unpaid ra><es <br /> <br />Street No. <br />Acres <br />Consist of <br />or liens mounts o <br />payments <br />Vclus ar <br />N <br />Value <br />Year <br />Amount <br />1 W. C re k Lot 0 <br />d Pa ' <br />Lou.' is Ac es <br /> <br /> <br />~~ <br />Z< <br />The undersigned certifies that the information inserted on each side hereof has been carefully read and is true and correct. <br />Date 2-1~-~~ <br />{1 <br />Signed ~~'-~ ~ ' <br />