Obtain a “Yes” or “No” answer for each printed item in 10(a).

For each “Yes” answer, complete 10(b) and ask whether more than one similar asset exists. If so, complete a separate line in 10(b) for each item, or use the “Remarks” section.

If the answer is “No” to all questions in 10(a) go to question 11.

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  Verification of resources, SI 01140.010–SI 01140.022

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  Ownership of liquid resources, SI 01140.030

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  Savings and checking accounts, SI 01140.200

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  Savings certificates and time deposits, SI 01140.210

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  Stocks, SI 01140.220

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  Bonds (other than savings bonds), SI 01140.250

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  Savings bonds, SI 01140.240

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  Exclusion of resources, SI 01130.000

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  Exclusion by Federal statutes, SI 01130.060