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, <br />FINANCIAL STATEhiENT <br />CONFIDENTIAL <br />� Date:��/�n <br />Name:��zrRFn,RRTrK Day Phone; 725-20U ext. 2381 <br />Current Address: 50U tVest Countv Road I3, Roseville, MN. <br />AS_ SETS ................................. In Even <br />Cash on hand and in banks: Location..........Acct.�..Dollars.. <br />Savings account: v.A. Credit Union Zg�pq �00 <br />IRA: T��1.-.C.]..�v-_ F�dPral �.17058823 _3000 <br />Marketable Securities: � <br />Non-Marketable Securities: <br />Restricted or control stocks: <br />H o m e s t e a d: ---- �—` -"` --- <br />Real EsCate Owned: � 55,OOU <br />Automobiles: � ��� <br />Personal Property, � 1 °i1 ��� � Uq� <br />. „_ <br />Cash Vnlue-Life Insurnnce: —.�.,. �! <br />OCher assets-Itemize: <br />--_____� <br />__... <br />� -� �— <br />� <br />---� <br />----� <br />� <br />TOTAL ��SS�'TS: ' <br />-- "„"�iT(�" <br />:r <br />-- � <br />---_.__ <br />I.IA�I�ITIFS.....e .........................Cr�ciitor....., In Even <br />i�otes pay�ble to �.nlcs-iJn§ecur�d: ACCT �, .. Dollar� <br />1Votes payabl,� Co b�nk�-Secured; <br />� � <br />Amounts ,��y�ble to �thers-Secured: � <br />Amounts pny�ble to oetlers-Unsecured; -- <br />Moregr�ge on Ilon��st�ad: - — <br />R e a 1 f•. s t� t e M o r t g a g e s: ' I. � tl e t t� �; �Tr�';".�T't'__"' ,�"''�,- <br />Loans-Autamobiles: <br />L r� e t t ii �� t� .ta,� n: c c� ° =--�--. <br />Unpai� income tax; �'�' <br />Other unp��d t�xes �nci interest: � <br />Accounts �nd bill� ��;�y��a��; � <br />Oth@r del��--it�n:i::�; - <br />-____.__ <br />� <br />— <br />�TOTAI� LIAE3ILI'I'Ii:S; <br />�( E T W 0 R T I f; ""h' ; rrtr�t-- <br />TOTAL I�IAE3ILITTI;S �Nll NET I,IORTH: '`', <br />� <br />