Last updated: 5/8/2020
Financial Statement
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Description
Probate Court of Lake County, Ohio MARK J. BARTOLOTTA, JUDGE ADOPTION OF CASE NUMBER FINANCIAL STATEMENT INCOME Wages: Annual HOME Own: Present Value # of years owned Rent: Rental fee ASSETS Indicate present value and describe Additional real estate Automobile(s) Stocks and/or bonds Bank accounts Other LIFE INSURANCE Amount and name of beneficiary Monthly Other Sources Mortgaged Balance due Monthly mortgage payment MEDICAL COVERAGE OUTSTANDING LIABILITIES COMMENTS, if any The above information is true to the best of my knowledge and belief. (Mr.) (Mrs.) Print Reset American LegalNet, Inc. www.FormsWorkFlow.com