Note: As an alternative to the requirements set forth in the above -cited Code Section, the person filing this
report may provide a copy of the current year's Federal income tax return (See last page for Instructions)
Suarez
1 Francis
I X City of Miami Commissioner D4
LAST NAME FIRST NAME MIDDLE INITIAL OFFICE HELD
ASSETS
PART A] — PART B]—
LIABILITIES
DESCRIPTION VALUE Please list below the name and address of every person,
I whether individual or corporation,to whom you owe a
Approximate liability exceeding $5,
000, and the total amount of
Prima ry Home
158,980.
00 indebtedness. Liability”
" is defined as any monetary debt
or obligation owed by you to another person, including
Approximate credit card retail installment accounts; taxes owed;
Investment Pro p a
68,
00 980. indebtedness on a life insurance policy owed to the
issuing company; or accrued income taxes on net
Approximate unrealized appreciation.
Savings Account
163,352.
95
Name A
/ ddress of Creditors: Amount Owed:
Account
Approximate
Checking
17,
13 617. Chase Bank, N.A.
360,000.
00
PO Box 24696, OH 43224
Seterus, Inc.
PO Box 2008,Grand Rapids, MI 49501
158,815.
56
investment
tw..
purposes):jewelry; stamp collections; guns o
25,000
Note: You are not limited to the space on the lines in this form.Attach additional sheets)if necessary.
Pagel of 2
PART C] -NETWORTH
Net worth is the difference between total assets and total liabilities, not merely those listed in PART A (Above),which have
a value in excess of $
50,00. Please enter your net worth as of December 31 of the tax year or a more recent date.
PART D] -AFFIDAVIT
The information disclosed herein and on any attachments hereto is true and correct to my knowledge.
AL, = `
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o(3
State of
County
FloridMI
of
a a.Ml -Dad e--
-
Sworn to (or affirmed) and subscribed before me on this the co day of u tdt-1 20 ! 3,
by:
rQ n us Su artz
Name of person signing and his her
/ title (public officer, trustee or personal representative)
Produced identification:
c7n c.,
4,
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