14.Have you acted as a director, officer, or shareholder of any company or corporate surety which posed a bail bond in any Court of this State or any other State or territory o the United States, where the bond, after being forfeited, remains unpaid or unsatisfied?
Yes __ or No __
15.List here an inventory of all real estate of which you are the sole legal and equitable owner:
**NOTE: Do not list any property in which you or your spouse own as tenants by the entirety or joint tenants, and do not list any property in which you own only a life estate or remainder.**
Tract One:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________
E.Assessed valuation at the last assessment: $___________________________
F.Any encumbrances with amounts and names of persons holding the same (mortgages, mechanics’ liens, tax liens, and other liens): __________________
_______________________________________________________________
Tract Two:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________
E.Assessed valuation at the last assessment: $___________________________
F.Any encumbrances with amounts and names of persons holding the same (mortgages, mechanics’ liens, tax liens, and other liens): __________________
_______________________________________________________________
Tract Three:
A.Legal Description: ________________________________________________
B.City, zone, street, and street number: _________________________________
C.Description of all improvements thereon: ______________________________
D.Appraised (fair market) valuation at last County assessment: $_____________