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RESOURCES & INVESTMENT FINANCE LIMITED

PO Box 377 Vision City NCD Phone: (675) 3235409 Fax: (675) 3235171
PERSONAL ASSET & LIABILITY STATEMENT
NAME:
ADDRESS:
(List only your share of the assets and liabilities)
ASSETS LIABILITIES
Properties (list addresses) Mortgages (List name of bank/financier)
K K
K K
K K
Total K Total K
Vehicles Loans (List name of bank/financier)
K K
K K
K K
Total K Total K
Investments Credit Cards (List name of bank/financier)
Deposits K K
Shares K K
Business K K
Other K K
Total K Total K
Other Assets Other Debts (List details)
Furniture K K
Insurance K K
Super K K
Other K K
Total K Total K

TOTAL ASSETS K TOTAL LIABILITIES K


I hereby certify that the information contained in this Personal Asset & Liability Statement is a
true and correct disclosure of my financial position.
Signature: Date:

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