English Translation

II. Properties: 1. Which properties do you own? (cat. community, deposit number, estimated value and charge). a) Domestically, b) abroad. (For each property (real estate deposit) a separate questionnaire shall be attached in three copies with the inclusion of the documents listed there. III. Claims: (For all properties) Claims shall be given by name, race, exact address of the debtor, amount of the claim, ground of origin, due date, pending proceedings and execution proceedings according to court and number of files; notes, correspondence, judgments, names of witnesses and other evidence shall be included.) 1. Domestic receivables: (a) Claims secured under the land register: (The property is to be specified according to the Kat.-Gemeinde, NC-number and land account deposit number, in the case of simultaneous mortgages the main deposit and all ancillary deposits are to be listed.) b) Debts secured by mortgage: (name of the pledge and place of custody.) c) Unsecured claims: 2. Foreign receivables (These are to be listed in the same order as above) 3