CURRENT ASSETS CURRENT LIABILITIES

PERSONAL FINANCIAL STATEMENT Statement of ASSETS & LIABILITIES For:_____ Social Security No. _____ As of this:_____ Day of: _____ , 20_____. CURRENT ASSETS CURRENT LIABILITIES Cash on Hand $: _____ Notes Payable, Bank:_____ $:_____ Cash in Banks Notes Payable, Bank:_____ $:_____ _____ $: _____ Notes Payable, Other _____ $: _____ _____ $:_____ _____ $: _____ _____ $:_____ Accounts Receivable Account Payable $:_____ _____ $: _____ Accruals $:_____ Stocks, Bonds & Other Securities Taxes $:_____ Total From Schedule A - Page 2 $: _____ Other CURRENT LIABILITIES Notes Receivable (Schedule A-1) $: _____ _____ $:_____ Cash Value Life Ins $: _____ _____ $.

2 SCHEDULE "A" STOCKS, BONDS & SECURITIES & RETIREMENT ACCOUNTS Description of Stock or Bond Par Value Market Value Pledged SCHEDULE “A …

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