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ASSETS

LIABILITIES

Cash on hands & in Banks	$	Accounts Payable	$
Savings Account	$	Notes Payable to Banks and Others	$
IRA or Other Retirement Account	$	Installment Account (Auto)	$
Accounts & Notes Receivable	$	Installment Account (other)	$
Life Insurance-Cash Surrender Value Only	$	Loan on Life Insurance	$
Stocks and Bonds	$	Mortgages on Real Estate	$
Real Estate	$	Unpaid Taxes	$
Automobile-Present Value	$	Other Liabilities	$
Other Personal Property	$
Other Assets	$