1. If you have any single asset that was worth more than $10,000 as of the end of the preceding calendar year and is held in, or payable to, your name, held jointly by, or payable to, you with your spouse, or held jointly by, or payable to, you with your minor child, list such assets below. In the case of investment real estate(not including you personal residence), list the city and state where the investment real estate is located. This may include, but is not limited to: single blocks of stock, rental properties, real estate, farmland, trust & mutual funds(if not a retirement account). If you do not have any such assets, list "none" below. *