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                                                  ATTACHMENT 3

TORCA SHARED APPRECIATION LOAN PROGRAM

 

      CERTIFICATION OF OWNERSHIP OF PERSONAL PROPERTY

 

 

TYPE OF

 ACCOUNT

 

 

ACCOUNT IN NAME OF

 

ACCOUNT

 NUMBER

 

 

BALANCE

 

Checking

 

 

 

 

 

 

 

Checking

 

 

 

 

 

 

 

Checking

 

 

 

 

 

 

 

Savings/CD

 

 

 

 

 

 

 

Savings/CD

 

 

 

 

 

 

 

Stocks/Bonds

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

IRA*

 

 

 

 

 

 

 

401K*

 

 

 

 

 

 

 

Other Retirement*

 

 

 

 

 

 

 

*This information should be listed, however, it will not be included as part of the applicant’s assets when calculating the loan amount, unless requested by the applicant.

 

I/We hereby certify that my/our assets consist of these accounts and that, except as disclosed above, I/we own no other liquid assets, either in whole or in part.

 

I/We hereby certify that under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

 

By: __________________________________________      Date: ______________

 

 

By: __________________________________________      Date: ______________

 

For purposes of the program, personal property or personal assets are defined as the value of a household’s savings and any equity in stocks, bonds, mutual funds, real property, or other forms of capital investment.  For a full definition of “assets” please see Program Guidelines.

 

 

This page was last modified on 06/14/2004