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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 $: _____ _____ $:_____. Other CURRENT ASSETS _____ $:_____. _____ $:_____ _____ $:_____. TOTAL CURRENT ASSETS $:_____ TOTAL CURRENT LIABILITIES $:_____.

2 SCHEDULE "A" STOCKS, BONDS & SECURITIES & RETIREMENT ACCOUNTS Description of Stock or Bond Par Value Market Value Pledged SCHEDULE “A-1” NOTES RECEIVABLE

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