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efta-efta01087741DOJ Data Set 9Other

AS ar qlkft3 Coed r)

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DOJ Data Set 9
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efta-efta01087741
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
AS ar qlkft3 Coed r) Pace 2 Assets (omit cents) Liabilities (omit cents) 6‘.:-.54 In this Bank l ogle mortgages Primary Residence (Schedule I) In Other Institutions 34 2,(71, Payable Ott Wholly-Owned RE (Schedule 7) Partially Owned RE Securities Marketable _ 9.. 1 I L 5-6 (Schedule 2) Not Publicly Traded i ? 913 Notes To this Bank 7 Accounts Receivable/Notes Receivable (Sch. 3) Payable Other Notes Payable co / 2-2 Net Cash Value Ins. & Annuities (Schedule 4) I r l & I (Schedule 6 & 8) Margin Account 1 Real Estate (Schedule 7) Primary Residence 7..5' & Taxes Income Taxes Other Wholly-Owned RE i 10, - 21 Owing Other Taxes Partially Owned RE Unrealized Asset Apprec. Other Partnership Interest 3 3.2.104o Estimated Credit Card Balance 2-1O Equipment & Other Business Assets (Sdi. 8) Accounts Payable Deferred Comp & Retirement Plans (Sdi. 5) Other Liabilities (Itemize on page 1 or attachment) y1b C o Other Assets (Itemize on pg. 1 or attach) it. 1- iiif 6z3 I 1 Offshore Assets (Itemize on pg. 1 or attach) * 4e4 d- 011ecbilef x69-61089 Ant/ go c‘t a- life 116,1/11 Total Liabilities 5/ 62-2_ Total Assets bleyjeWel leg 23, al (2, 00 a, /16 Net Worth (Assets Less Liabilities) 6,.-/i(3 f 0 4/ Contingent Liabilities Instructions: State Total Amount by Type of Liability and Provide Appropnate Detail In The Space Below. Contingent liabilities are financial obligations of other or have a statutory obligation to honor in the event of you will be required to honor In the event of certain contingencies. my kind. You must disclose all such guarantees, endorsements, individuals, partnerships, or companies which you have endorsed, guaranteed or otherwise agreed to certain contingencies and any direct obligations that are not reflected in the balance sheet above that These include obligations to Bank of America as well as to other banks or creditors of etc. in this schedule. 1. As Guarantor or Endorser 2. On Leases or Contracts 3. Legal Claims or Judgments 5. S andby Letter of Credit 4. Income Tax Claim o Dispute Amount 6. Other Type St Name of Primary Obligor I Due To Max. Legal Obligation Amount Maturity Explanation: Include whether you anticipate having to honor this liability. NOTE THAT LEON D. BLACK PURSUANT TO ESTATE PLANNING ENTERED INTO VARIOUS TRANSACTIONS WITH FAMILY TRUSTS AND ' GRANTOR RETAINED ANNUITY TRUSTS. THESE TRANSACTIONS GIVE RISE TO RECEIVABLES AND PAYABLES BY LEON D. BLACK TO FAMILY GRANTOR TRUSTS FOR WHICH LEON CI BALCK IS GRANTOR FOR INCOME TAX PURPOSES. THESE iNTRA-FAMILY TRANSACTIONS ARE ZERO SUM TRANSACTIONS AS ANY RECEIVABLE IS EQUAL TO A PAYABLE. FOR REPORTING PURPOSES, THESE TRANSACTIo NS ARE NETTED. — I I I HAVE NO CONTINGENT LIABILITIES Annual Income/Expense Information Afatony, Chid supped or Separate Maintenance Income need nal be revealed unless you Mal to have room eionskfeedl as a Dub for riPleing the ddlund cram Sources of Cash Last Year tot 7g, /3 Projected This Year 18 _20/// Uses of Cash Last Year 19_ Projected this Year 19_ Retuning Expenses Salary & Wages Income Taxes & FICA Commissions, Bonus, Etc. Other Payroll Deduction Interest & Dividends Living Expense, Misc. Real Estate Income Real Estate Expense Trust Income Planned Investments Other Business Income Alimony, Child Support, Separate Maint. Other Other Sub Total Sub Total Non-Retuning Debt Service Commissions, Bonus, Etc. Primary Residence Prnt. Sale of Assets Scheduled Principal & Int. Tax Refund Other Interest Pmts. Other Other Principal Pmts. Contingent Liability Pmts. Total Cash Uses Total Cash Sources VOC, elCo 3OO,000 Total Cash Flow EFTA01087741

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