English Translation

16a 3. Life insurance: (Sale, number of the insurance policy, insurance sum, maturity, approximate repurchase value and possible cancellation of the policy must be stated. Does the policy sound to the provider or a third person? Are insurances of third parties to your attdtoemn 4. Are you entitled to salaries, commissions, pensions, pensions or contract terminations? 5. Have you been insured or have you been covered by pension insurance, social insurance? At which institution under which number? 6. Have you deposited deposits, with whom and at what amount? 7. Have you incurred a leave or a legate? (Name of the deceased, give unspecified value and treatise court!) 8. Are you entitled to enjoyment rights or provisions? On what things and to what extent? 9. Which claims do you have under license, patent, copyright, trademark and model protection rights? 10. Are you entitled to alimnation claims? Against whom, for what reason and in what amount? 62718 11. Do you have rights of entitlement? (e.g. from fideicommissary substitutions.) 4