604 Employment Address: Country Vi US 6109 Red I-look Qtr B-3 St Thomas, VI 00802 10/10/2012 2. Income Recurrent Source: Annual Income: 23 Own Business 0 Private 0 Government 0 Other. specify. 0 $0.01 - $50,001 $50,001 - $150,000 0 5150.001- 5250.000 0 Over $250,000 • tf the Gnaw is yes

SO To Banks SO SO 12 Contract Deposit SO SO To Relative SO SO 13 Investments: Bonds & Stocks SO SO To Others SO SO 14 Investment in Own Business SO SO Installment Accounts Payable SO SO 15 Real Estate Owned (see schedule) SO SO Automobile SO SO 16 Automobiles (1994 Isuzu) SO SO

SO To Banks SO SO 12 Contract Deposit $0 SO To Rotative SO SO 13 Investments: Bonds & Stocks $0 $0 To Others SO SO 14 Investment in Own Business $0 $0 Installment Accounts Payable SO SO 15 Real Estate Owned (see schedule) 50 SO Automobile SO $0 16 Automobiles (1994 Isuzu) 50 SO