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Get Form 413 3 00 Personal Financial Statement

, Name Business Phone Residence Address Residence Phone City, State, & Zip Code Business Name of Applicant ASSETS Cash on hand & in Banks Savings Accounts IRA or Other Retirement Account Accounts & Notes Receivable Life Insurance-Cash Surrender Value Only (Complete Section 8) $ Stocks and Bonds (Describe in Section 3) $ Real Estate (Describe in Section 4) $ Automobile-Present Value Other Personal Property (Describe in Section 5) $ Other Assets (Describe in Section 5) $ Section.

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