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Other Loans Policy as Collateral BENEFICIARY C SECURITIES OWNED Face Value-Bonds No. of Shares Stock Indicate those Not Registered in Your Market Value U.S. Gov. Sec. COST D NOTES AND ACCOUNTS RECEIVABLE MAKER/DEBTOR X When Due Description Location Indicate by a X if Others have an Ownership Interest Present Value of Real Date Acquired Original Cost Estate Amount of Ins. Carried F MORTGAGES AND CONTRACTS OWNED...
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