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Cash gifts:	$	$
Stocks, bonds, mutual funds, CDs:	$	$
Cash value of life insurance:	$	$
Proceeds from sale of current home:	$	$
Cash borrowed from 401(k) or 403(b):	$	$
Other assets:	$	$
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Annual combined total	$

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Coldwell Banker Howard Perry and Walston Real Estate Agency
Raleigh, North Carolina
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