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Show --- --- --- ORIC. NUMBER COUNT BaPtIsm Register No. INVENORY ASOF FIRST FINANCIAL STEWARDSHIP ACCOUNTING Mr. Mrs. Mi" First Middle Family Name First Spouse (If joint statement) Middle .Maiden Name 19_ ___ __ List possessions at an estimate of present value which you feel is fau to God and fau to you. PermanentAddrs CASH AND SECURITIES CASH ON HAND ___ House Number and Street CHECKING ACCT. State or SAVINGS ACCf. Province Citv NOTES & MTGS. RECEIVABLE. STOCKS, BONDS, ETC. Zip Code (If different from above) HOUSlNG HOME (Usually, Original Cost Plus Improvements) _ Prent Mailing Address --- Ag ----------- Mine Children Spouse _ Other Dependents HOUSEHOLD INVENTORV (Furniture, Furnishings, Appliances, etc.) HOUSE CARE EQUIPMENT (Carpentry, Plumbing Tools, etc.) Branch, Congregation, or Mission LAWN CARE EQUIPMENT (Lawnmower, Garden Tools, etc.) District or Stake District or Stake from which previous statement was filed PERSONAL ASSETS APPAREL, JEWELRY, BOOKS, ETC. HOBBY EQUIPMENT, MUSICAL INSTRUMENTS, ETC. Date Signed OTHER ASSETS Sian-d(Spou.e) .1 -------------- RECREATIONAL VEHICLES (incl. boats) CAR(S) CASH VALUE OF LIFE INSURANCE (not face value), PENSION FUND, ETC. r INVENTORY OF OCCUPATIONAL SKILLS (TO FACILITATE THE ZIONIC GATHERING PROGRAM) Area of Emplayment or Skills Briefly explain (Use coding below) position ROW held: Mr. D Mrs. Miss 0 Other skills and training: OFfiCE USE ONLY CODING OF EMPLOYMENT OR SKILLS 1. Auriculture 2. Architecture (Q) Subtract W from V to find accumulated increase (or net worth) (R) Multiply toted tithing previously paid by nine I. 9. Health 10. Law 11. Office Work 5. Education 12. Sales Work 6. Engineering 7. Finance, Ins., R.E. 13. Transportation 14. NOTE I: If this is a New Start Statement, some adjustment should be made for those expenditures out of increase which represent intangible increase that have been made since your last statement. This will include expenditures for gifts, ChMity, all contnbutions to the church, pleasure travel, tuition, books and fees for higher education, recreation, entertainment, cultural pursuits, etc. One tenth of the estimated total of such expenditures should be entered on Line U. (S) (T) (U) (Z) REMARKS: "- \ 8. Government 3. us. & I nd. Ownership 4. Crftsman Reorganized CHURCH OF JESUS CHRIST of Latter Day Saints World Headquarters: Independence, Missouri 64051 _ |
