PERSONAL PROPERTY QUESTIONS

                                                                        Ownership                    Market Value              

                                                                        I-Individual

                                                                        Or

                                                                        J-Joint

1. Cash on Hand                                        ___________              $____________

2. Checking and/or Savings Account                       ___________              $____________

    (Approximate Balance)

3. Security Deposits with Landlord

    Or Utility Companies                               ____________            $____________

4. Household Goods (Value of all furnishings

    Inside your home if you sold them at a

    Garage sale)                                     ____________            $_____________

5. Collectibles (Books, pictures, art

    Stamps, coins)                                       _____________            $_____________

6. Clothing (Thrift-Store Value)              _____________            $______________

7. Furs and Jewelry                                     _____________            $______________

8. Firearms, sports, photo, hobby

    equipment                                                     _____________            $______________

9. Interest in insurance policies             _____________            $______________

10. Annuities                                                    _____________            $______________

11. Interest in IRA, 401K, Keough

12. Other pension or profit sharing plans            _____________            $______________

13. Shares of Stock                                       _____________            $______________

14. Interests in partnerships or

     joint ventures                                                _____________            $______________

15. Gov’t & Corporate Bonds                          _____________            $______________

16. Accounts Receivable                                _____________            $______________

17. Alimony, maintenance, support or

     property  settlements to which  you

     or your spouse may be entitled.                        ______________            $______________

18. Interest in Education IRA                          ______________            $______________

19. Equitable or future interests.                       ______________            $______________

20. Contingent & noncontingent interests

       in estate of a decedent.                               ______________            $______________

21. Customer lists or other compilations            ______________            $______________

22. Patents, copyrights, intellectual property.            ______________            $______________

23. Licenses, franchises, etc.                          ______________            $______________

24. Auto, trucks, trailers or other vehicles

            a._____________________              ______________            $______________

            b._____________________              ______________            $______________

            c._____________________              ______________            $______________

25. Boats, motors or accessories.                  ______________            $______________

26. Aircraft                               ______________            $______________

27. Office furniture, equipment or supplies.            ______________            $______________

28. Machinery, fixtures or other supplies.            ______________            $______________

29. Inventory.                                                   ______________            $______________

30. Animals                                                      ______________            $______________

31. Crops; growing or harvested.                     ______________            $______________

32. Farming Equipment.                               ______________            $______________

33. Farm Supplies, chemicals or feed.            ______________            $______________

34. Other personal property not listed.            ______________            $______________