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# SECTION XI FINANCIAL STATUS1. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY? YES X NO2. IF YOUR ANSWER IS "NO" TO THE ABOVE, STATE SOURCES OF OTHER INCOMEInvestments.3 BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS| NAME OF INSTITUTION      | ADDRESS (City, State, Country) || ------------------------ | ------------------------------ || Falls Church Bank        | Falls Church, Virginia         || Banco Nacional de Mexico | Mexico, D.F.                   |4. HAVE YOU EVER BEEN IN, OR PETITIONED FOR, BANKRUPTCY. YES X NO5. IF YOUR ANSWER IS "YES" TO THE ABOVE, GIVE PARTICULARS, INCLUDING COURT AND DATE(S)6. GIVE THREE CREDIT REFERENCES IN THE UNITED STATES| NAME                          | ADDRESS (No., Street, City, State) || ----------------------------- | ---------------------------------- || Falls Church Bank             | Faus Church, Virginia              || R.C. Bottling of Baltimore 29 | 401 Eas: 30th St. Baltimore Md     || Popular Dept. Store           | El Paso, Texas.                    |7. DO YOU RECEIVE AN ANNUITY FROM THE UNITED STATES OR DISTRICT OF COLUMBIA GOVERNMENT UNDER ANY RETIREMENT   ACT, PENSION, OR COMPENSATION FOR MILITARY OR NAVAL SERVICE? YES X NO8. IF YOUR ANSWER IS "YES" TO THE ABOVE QUESTION, GIVE COMPLETE DETAILS9. DO YOU HAVE ANY FINANCIAL INTEREST IN, OR OFFICIAL CONNECTIONS WITH NON-U.S. CORPORATIONS OR BUSINESSES; OR IN   OR WITH U.S. CORPORATIONS OR BUSINESSES HAVING SUBSTANTIAL FOREIGN INTERESTS?YES X NOSECTION XII MARITAL STATUS1. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, or Annulled) SPECIFY: Married2. STATE DATE, PLACE, AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTSN.A.| WIFE, HUSBAND OR FIANCE: | If you have been married more than once - including annulments - use a separate sheet for former wife or husband giving data required below for all previous marriages. If carriage contemplated, fill in appropriate information for fiance. || ------------------------ | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- || 3. NAME | (First) Rachel. | (Middle) Esther | (Maiden) Williams | (Last) Wichtrich 06 || ------- | --------------- | --------------- | ----------------- | ------------------- || 4. DATE OF MARRIAGE                                                          | Dec. 23, 1938                            | 5. PLACE OF MARRIAGE (City, State, Country) | Tucson, Arizona - Pima County U.S.A. || ---------------------------------------------------------------------------- | ---------------------------------------- | ------------------------------------------- | ------------------------------------ || 6. HIS (OR HER) ADDRESS BEFORE MARRIAGE (No., Street, City, State, Country)  | 3300 Hawthorne S:., Tucson, Ariz, U.S.A. |                                             |                                      || ---------------------------------------------------------------------------- | ---------------------------------------- |                                             |                                      || 7. LIVING                                           | XX YES NO                                                                          | 8 DATE OF DEATH | 9. CAUSE OF DEATH |     || --------------------------------------------------- | ---------------------------------------------------------------------------------- | --------------- | ----------------- | --- || 10 CURRENT ADDRESS (Give last address, if deceased) | Toluca Highway, Klm. 19 1/2, El Magueyito, Cuajimalpa, Mexico. D.F., Mexico.       |                 |                   |     || --------------------------------------------------- | ---------------------------------------------------------------------------------- |                 |                   |     || 11. DATE OF BIRTH | 2/13/1917 09 | 12. PLACE OF BIRTH (City, State, Country) | Avoca, Texas, U.S.A. || ----------------- | ------------ | ----------------------------------------- | -------------------- || 13. CITIZENSHIP   | U.S.A.       |                                           |                      || ---------------   | ------       | -                                         | -                    |SECTION XII CONTINUED TO PAGE 10