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ASSETS DESCRIPTION

LOCATION

BEST

ESTIMATE OF

PRESENT VALUE

Cash on Hand

/In Bank

Household Furniture

(Fully/Partially Pledged/Exempt)

Retirement Savings Plans

Loans Due to You

/Accounts Receivable

Cash Surrender Value of

Insurance Policies

Savings Plans

/Bonds

Clothing and Medical Aids

Jewelry

Stocks

/Shares

Estimated Tax Refund

Collectibles

(Stamps, etc.)

House/Cottage/Land

(Sole/Joint/Part Owner)

(Fully/Partially Pledged)

Mobile Home

Automobile/Model

Serial No.

(Fully/Partially Pledged/Exempt)

Motorcycle/Model

Serial No.

Other Motorized Vehicle

Boat

/Trailer

Any Other Assets/Tools of the Trade

BankruptcyAction.com

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