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					Statement of Net Worth
Name: __________________________________


Estimated Net Worth:                     € 553,950.00                                                    5/18/2012

                              Assets                                                 Liabilities

                                       Estimated Value                                             Estimated Value
Personal Items                                              Loan Balances
Home                                       € 850,000.00     Mortgage loan                               € 450,000.00
Vehicles                                    € 30,000.00     Home equity loan                                   € 0.00
Jewellery                                     € 2,000.00    Car loans                                    € 14,000.00
Artwork                                       € 1,000.00    Property loans                              € 150,000.00
Furniture                                   € 10,500.00     Student loans                                      € 0.00
Electronics                                   € 2,000.00    Other loans                                        € 0.00
Antiques                                      € 3,500.00    Other Outstanding Debt
Other                                              € 0.00   Credit card debt                              € 9,000.00
Cash or Cash Equivalent                                     Other debt                                         € 0.00
Current account                                € 800.00
Savings account                              € 2,500.00
Certificates of deposit                           € 0.00
Money market account                              € 0.00
Life insurance (cash value)                  € 2,150.00
Other                                             € 0.00
Investments
Retirement account                          € 10,000.00
Bonds                                         € 2,500.00
Mutual funds                                       € 0.00
Individual stock shares                     € 10,000.00
Property other than home                   € 250,000.00
Other                                              € 0.00
Assets Total                            € 1,176,950.00      Liabilities Total                          € 623,000.00

				
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