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Fort Walton Beach Resolution — 82-22-Ind Revenue Bonds-Gator Distributors — reading text
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19.J;
U PERSONAL INFORMATION .
80, 000 Do you have a will? yes " SO, name of executor.
Salary, bonuses & commissions S
D, vidends Board J-ee 12, OUU Gordon M. Moore
Real estale tnCome 49. 200 Are you a partner or oflicer In any other venture? II so. descnbe.
Other , ncome C~. cNId ......... .. ........ ........- fV\ar- Partner in Gator Bldq. Partn9rship
be ........ . .... .. .... ..... .. ...... . Are you obligated to pay alimony. child support or separate maintenance
paymenIS?" so. descnbe.
lot .....,.... ..... ..........
1. 045 per mo child supportjalimonv
Are any assets pledged other than as descnbed on sChedules? II so, descnbe
TOTAL S 141, 200
CONTINGENT LIABILITIES
Income tax settled Ihrough ( dale) 1~ RO
Do you hive any contingent liabilities? If 10. describe.
Are you a delendanl '" any sulls or legal actIOns?
35% Interest in Gator Building no
As indorse., co-maker or auarantor? S 350, 000 Personal bank accounts earned al
On leases 01 contraCIS? S
Legal claims S Century National Bank of Pensacol a
S Ha~ e you ever been declared bankrupt? It- so. descnbe
Other special debl
S no
Amount of contested ,ncome tax liens
COMPLETE SCHEDULES AND SIGN ON REVERSE SIDE)
OULE A ~ V,S, GOvt~ N;.\ ENTS t.MARKE:T A8LE SECURr; IES
SCHI;:
Number 01 Shar.. Are These
Description InN- ..., 01 Markel
01 Face Value ( Bonds)
Pledged? Value
SCHEDULE B. NON- MARKETABLE SECURITIES
Number 01 Are These Source of
Sha.... Description In Name 01 Value
Pledged? Value
SCHEDULE C. PARTIAL INTERESTS IN REAL ESTATE EQUITIES
Address & Type Title In % 01 Date Market
Cosl Mortgage tlgage
M')
01 PrOperty Name 01 ~ rshtp AcqUired Value Maturltv t..
mount
e::". BleJa.
Gato,.. 35% 6/ 79 837 000 1. 210. 00h 1. 000 . OO(
E. Belmont .... :- .
1001
Pensal"
t"
lla. Fla.
t SCHEDULE D . REAL ESTATE OWNED
f)
f; Address & Type TItle In Date
U Market Mor1gage Mortgage
Of Property Name Of
Cost
J
Acquored Value Maluflly Amount
Lf
Residence
Renta 1 P
I)
u
oJ
Total 11 5 655
U
1: SCHEDULE E . LIFE INSURANCE CARRIED, INCLUDING N. S. LI.AND GROUP INSURANCE
Face POliCV Cash Surrender
oJ Benehclary Amounl loans Value
25, 000
2 25 000
5 500 000
40, 000
IJ
I)
SCHEDULE F. BANKS OR FINANCE COMPANIES WHERE CREDIT HAS BEEN OBTAINED
Name & Address CredIt In Secured Or Or' g,nal HIgh Current
Of Lender The Name Of Unsecured? Date Credll Balance
The Information contained In tN. atatement" provided for the purpo. e of obtaining, or maintaining credit with you on behalf of the
underalgnect.orperaone,tIrma or~~ In whoM behIIIf the underaIgned may either aev. rally or jointly with others. execute a guaranty
In your levor. Each ............... undM......... relying on the information provided herein (Including the .
you... slgnatlon made as to
ownership 01 propertr)In dIcIdIng to.... or oonIInue CNdIt.ElIch underalgnad represents and WBn'ants that the Information provided Is true
and Met.....
JOU.., con...,.... S.. tlment - ~ 10 be t~ and correct until a written notice of a change Is given to you by
the u c:=
Igned. yOU................... allnqulrIee you deem necnary to verify the accuracy of the st.
atementa made herein, and lID
dnlnnlne .."., ~ You .. euthorIIIM .. _.... q,," tIon. about your_~ pertence with m.!
ua.
S' OM_"""~;. :
S5No424- 46-1576 Dale 01 S. rt
11 ~ ~
10/ 16/ 39
50gnalure ( Other Party)
0(
55 No Dale of B. rth
Dal. Signed 1_