Transcription of FINANCIAL STATEMENT FOR BUSINESSES
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Example: bankruptcy
FINANCIAL STATEMENT FOR BUSINESSES
DE 926C Rev. 15 (7-19) (INTERNET)Page 1 of 4 CUFINANCIAL STATEMENT FOR BUSINESSESNOTE: Complete all blocks except Dept. Use Only blocks. Write N/A (not applicable) in those blocks that do not Payroll Tax Account Number:Business Phone:Federal Employer Identification Number:Name and Address of BusinessoSole Proprietor _____oPartnership_____oCorporation State of Inc.:_____Date of Inc.: _____CA Corp. ID No. _____oOtherName, title, and phone number of person completing FINANCIAL StatementType of BusinessList Owner, Partners, Officers, Major Shareholder, and TitleEffective DateHome AddressPhone NumberLast 4 Digits of SSND river License AssetsCash on Hand$Bank Accounts: Include Savings and Loans, Credit Unions, Line of Credit, of InstitutionAddressType of AccountsAccount NumberBalance$Accounts/Notes ReceivableNameAddressAmount$Securities: Stocks, Bonds, Mutual Funds, Money Market Funds, Government Securities, or DenominationWhere LocatedValue$Dept. Use Only Section ADE 926C Rev.
Real Property Assets. List all real estate that is owned or is being purchased. Attach a list of all owners’ names and type of ownership (joint tenants, tenants in common), describe the type of mortgage payments and rental income amounts, and what the property is used for (residence, vacation, office/shop, rental).
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