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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the Applicant's information, including your name, street address, city, state, and zip code.
- In Section I – REAL ESTATE, list all parcels of real estate. Attach a copy of the deed(s) with a full legal description and provide details about improvements such as size and condition.
- For each parcel, enter the address, year acquired, original cost, market value, and amount of lien in the designated fields.
- Move to Section II – PERSONAL PROPERTY. List items with an original value greater than $5,000. Include manufacturer details, model, year acquired, original cost, market value, and current lien balance.
- Ensure all information is accurate and complete. Sign and date where indicated to certify that the information is true.
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