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GENERAL INFORMATION For security reason, all DataDeed originators full name and contact information will not be made available on line. Name: JD SAMPLE Date Of Birth: 2/22/1980 Release Condition: DISABILITY Return to Top ASSET INFORMATION Below you will find all assets entered by the DataDeed originator named above. Assets are categorized as either "Business Asset" or "Personal Asset". Personal Assets Auto/Boat Etc Asset Title: Leased Lexus Asset Source: GCAM Account Number: 22-77004567 Address: 2800 North Blvd PO Box 33445 Chicago , IL   88776 Contact Person: Ed Blue Contact Phone: (231) 444-5556 Contact Email: eblue@gcam VehicleOption1 Lexus VehicleOption2 ES300 VehicleOption3 2000 VehicleOption4 ABC1230987654 Comments Lease ends 2/15/2005. Buy out if under the permitted mileage. Lease contract in gray lock box. Personal Assets Financial Accounts Asset Title: Bank Asset Source: Acme Bank Account Number: 1234-567 Address: 123 Main St Anytown , PA   11111 Contact Person: Jane Smith Contact Phone: (222) 333 4444 Contact Email: jsmith@acme.com Comments This is our primary bank. We have several accounts. Personal Assets Asset Title: Bank Asset Source: ABC Bank Account Number: saving account Address: 123 Any Street AnyTown , PA   18017 Contact Person: John Doe Contact Phone: (610)555-1212 Comments This is a sample Personal Assets Asset Title: Bank Asset Source: ABC Bank Account Number: saving account Address: 123 Any Street AnyTown , PA   18017 Contact Person: John Doe Contact Phone: (610)555-1212 Comments This is a sample Personal Assets Asset Title: Bank Asset Source: ABC Bank Account Number: 54444444 Address: Any Street Any City , PA   18017 Contact Person: John Doe Contact Phone: 6105551212 Comments This is a sample. Personal Assets Asset Title: Bank Asset Source: ABC Bank Account Number: 54444444 Address: Any Street Any City , PA   18017 Contact Person: John Doe Contact Phone: 6105551212 Comments This is a sample. Personal Assets Insurance Contracts Asset Title: Life/Annuity Asset Source: American Life Insurance Account Number: 123 L 123 Address: 2299 Life Blvd Any City , FL   77788 Contact Person: Mary White Contact Phone: (554) 666-9999 Contact Email: maryw@american.com Comments Policy is joint survivor basis on life of first to die. Also contains accidental death benefits. Has auto premium loan provision in case payment is not made timely. Personal Assets Investment Accounts Asset Title: Stocks personally held Asset Source: Swift Brokerage Account Number: 33-224-001 Address: 25 Broadway Allison , PA   18190 Contact Person: Cheryl Jones Contact Phone: 772-383-2000 Contact Email: cj@swiftbrok.com Comments This is a separate account maintained for travel and other extras Personal Assets Real Estate Asset Title: PrimaryResidence Address: 444 Main Street P O Box 251 Allison , PA   18190-0251 Comments See important documents section for location of deed and mortgage contract. Personal Assets Retirement/Pension Asset Title: Keogh Asset Source: Franklin Funds Account Number: 22-445566 Address: 2121 Broad St San Francisco , CA   99999 Contact Person: Joe Brown Contact Phone: (333) 666-7777 Contact Email: jbrown@franklin.com Comments Beneficiary forms in the gray lockbox. Business Asset Business Interest Asset Title: Stock Account Number: Midget Widget Assocs. Address: c/o Flywheel & Sprocket , ZZ Contact Person: Joe Sprocket Contact Phone: 772 222-1423 Comments Our 35% interest in MW Assocs. is held in trust by Joe. He handles all our personal and business legal affairs. Business Asset Financial Accounts Asset Title: Bank Checking Asset Source: First Last Bank Address: 125 Sage Way Allison , PA   18190 Contact Person: Larry Brown Contact Phone: 772-383 0202 Contact Email: larryb@flbank.com Comments This is the general corporate checking account. Two signers required. Check with Joe Sprocket. Print Assets Only | Return to Top DEBT INFORMATION Below you will find all debts entered by the DataDeed originator named above. Debts are categorized as either "Business Debt" or "Personal Debt". Personal Debt creditcards Debt Source: Acme Bank Account Number: 5422 2300 1456 9876 Physical Location: my wallet Address: 123 Main St Anytown , PA   11111 Contact Person: Jane Smith Contact Phone: (222) 333 4444 Contact Email: jsmith@acme.com Comments extra card in gray lock box with validation form. Personal Debt loans Debt Source: Equity Special Account Number: 33 887766 Address: 28 Fifth Ave Chicago , IL   88990 Contact Person: Al Jones Contact Phone: (800) 123-4567 Comments Payment book with monthly bills in desk. See important documents section for related papers. Personal Debt mortgage Debt Source: Major Mortgage Co. Account Number: 99-8877-6 Physical Location: see important doc section Address: 3456 First St PO Box 2500 Philadelphia , PA   19990-2500 Contact Person: Sam Black Contact Phone: (888) 233-4555 Contact Email: sblack@majorm.com Comments Mortgage on 444 Main St. Business Debt loans Debt Source: Big Finance Account Number: 88-223399 Address: One Park Plaza Suite 300 Pittsburgh , PA   17098 Contact Person: Joe B. White Contact Phone: (332) 444-7711 Contact Email: jwhite@biggie.com Comments BF handles all inventory financing for Midget Widget Assocs. Business Debt other Debt Source: Quick Lease Account Number: 3-77898 Physical Location: Office vault Address: 2040 Sixth Ave Allison , PA   18190 Contact Person: Ray Breeze Contact Phone: 772- 383-2891 Comments Leases cover computers and copiers. Watch notice requirements if not renewing. Print Debts Only | Return to Top IMPORTANT CONTACT INFORMATION Below you will find all contacts entered by the DataDeed originator named above. Contacts are categorized contact type. FuneralHome Contact Name: John Brown Address: 334 Fading La Allison , PA   18190 Contact Phone: 772-383-0004 Comments All details prearranged and on file with John. Uncle Arthur also has a copy. Legal Contact Name: Joe Sprocket, Esq. Flywheel & Sprocket Address: 224 Narrow Lane Allison , PA   18190 Contact Phone: 777-222-1423 Contact Email: joe@fsprock.com Comments Joe has handled our will and all other legal requirements for years. Have him handle any estate matters. NonFamily Contact Name: Frank Allen Address: , NJ Contact Phone: 309 774-8967 Contact Email: fallen@mwidg.com Comments Frank as company counsel will work with Joe Sprocket as to all business legal matters. Print Contacts Only | Return to Top IMPORTANT DOCUMENT INFORMATION Below you will find all documents entered by the DataDeed originator named above. Important Documents are categorized document type. BirthCertificate Document Title: Safe Deposit Contact Person: Uncle Arthur State: PA Comments All family birth certificates LastWill Document Title: Contact Person: Uncle Arthur Contact Phone: 777-222-8844 State: PA Comments Uncle Arthur has agreed to serve as executor and he has a copy of the will. It is also in the safe deposit box. LivingWill Document Title: Contact Person: Uncle Arthur Contact Phone: (777) 222-8844 City: Allison State: PA Comments We both have completed living wills that serve as health directives expressing our wishes if we are unable to make our own medical choices. MarriageCertificate Document Title: Safe Deposit Contact Person: Uncle Arthur Contact Phone: 777-222-8844 State: PA Comments A very special document! Other Document Title: Contact Person: Mortgage - Sam Black Contact Phone: 888-233-4555 Contact Email: n/a City: Philadelphia State: PA Comments Mortgage and deed on house in safe deposit box. Sam can provide current account specifics or other info. SafeDepositBox Document Title: Acme Bank Contact Person: Jane Smith Contact Phone: (222) 333 4444 Contact Email: jsmith@acme.com State: PA Comments Box in joint names. extra key in gray lock box. Uncle Arthur also has a key. Print Documents Only | Return to Top