HomeMy WebLinkAbout0249 . _ . _ • - . - -
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To 1'rcliminn~y Inhecitancc Tnx lic~w~l
CPOr16105 10/7J
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~~'Ii~UUI.I~ C-1NVENTURY OF s1U1tTCAG~3~ NOTE4~ CASII, AND AI.[~ OTIIF.R SECURITIES AND INTANCIBLEB (Not held
in Joint Tenancy-List Joint Tee~ncy in Schedule S). Include ~ecrued intsrea~. !
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1TEM--No. and Deacriptio~ VALUE
i
Note: ~i3000.00 dated 9-14-74 Eather J. dc bermen
Bender to Thomae J. Kaveny or Mary Datis.. No value
hote -paid prior to Lacedent~e death
United 3tates Savings Bonde aeriea "F"
4
No M82-?01-88L~ E - 1000.00
xo.MB? 20216l~. ~ ~ 1000.00
Q No Q 2-175-1??-438 ~ . 25.00
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TO'rAL (alao enter on Page 2) ; ~ 25•~~
SCIIEDULE D-INVENTOSY OF INSURANCE. Identify policy or tontnct, designated beneficiary. amount, snd ahow ~alue.
ITEM-No. and Deacription FACE VALUE VALUE
I - .
; i i
i Servicemen'a Group Life Insurance 20,000.00 20,000.00
~ Beneficiary Mary F. Davis
` Continent~l Assurance Company9~~cago,I11~
~ Policy-Acct Number GP01351
~ ~enePiaiary Mary F. Davis 7,500.00 ?,9~7•15
~ ~
Great-West Life A9surance Company
Policy No 20996
BenePiciary Mary F. Davia 25,000.00 25s123•45
Nex York Life Inusrance ' Co
Poiicy No. 13301~1~23 1,000.00 1, 217.15 -
3enePiciary Mary F. Davia
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~ Ba~267 ~ s
~ ~~9 ~
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TOTAL (also enter on P~g~e 2) ; ~+591.35
•rhomas J. ~
F:slate o! ~8V en~ - Deceaaed. 3CHEDULFS - C- D #