........................................
Owed on chattel.............................................
Owed bank...................................................
Paid on land (prin.)........................................
Paid on land (int.).........................................

PRESENT VALUE OF PROPERTY

LAND
------------------------------------------------------------
_Acres Classification Acres Acre Total_
_Fenced Value_
------------------------------------------------------------
.........Cultivated.........................................
.........Cultivated (stumps in).............................
.........Meadow (wild hay)..................................
.........Unimproved.........................................
-------------
Total value of land..............$.............

BUILDINGS
------------------------------------------------------------
_Size Material Insured For Total_
------------------------------------------------------------
House.......................................................
Barn........................................................
Silo........................................................
-------------
Total value of buildings..........$............

LIVE STOCK
------------------------------------------------------------
_No. Value, Total_
_Each_
------------------------------------------------------------
.........Dairy cows.........................................
.........Dairy heifers......................................
.........Dairy calves.......................................
.........Beef cattle........................................
.........Horses.............................................
.........Colts..............................................
.........Hogs...............................................
.........Sheep..............................................
----------
Total value of live stock.....$..........