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Yes $ Motor Vehicle* .........................................................Yes$ Non-homestead real property/real estate* ..............Yes $ *show loans on these assets in paragraph 5 Check one: I DO DO NOT expect to receive more assets in the near future. The asset is. Other Real as follows: Motor Vehicle $::----'' Home $ 5. I have total liabilities and debts of$ 7 , Cost of , Medica1 B::-:ills-$::--' , Child Support paid direct $. , Credit Cards $ Property.

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