Yoreevo Blank REBNY Financial Statement
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Name:
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Property:
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ASSETS Applicant Co-Applicant LIABILITIES Applicant Co-Applicant
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Cash in Banks $ - $ - Notes Payable:
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Money Markets Funds $ - To Banks $ - $ -
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Contract Deposit $ - $ - To Relative $ - $ -
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Investments: Bonds & Stocks $ - To Others $ - $ -
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Investment in Own Business $ $ - Installment Accounts Payable:
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Accounts & Notes Receivable $ - $ - Automobile $ - $ -
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Real Estate Owned $ - $ - Other $ - $ -
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Automobiles: $ - $ - Other Accounts Payable $ - $ -
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Personal Property & Furniture $ - $ - Mortgages on Real Estate $ - $ -
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Life Insurance $ - $ - Unpaid Real Estate Taxes $ - $ -
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Cash Surrender Value $ - $ - Unpaid Income Taxes $ - $ -
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Retirement Funds/IRA $ - $ - Chattel Mortgages $ - $ -
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401K $ - $ - Life Insurance Policy Loans $ - $ -
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KEOGH $ - $ - Outstanding Credit Card Loans
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Profit Sharing/Pension Plan $ - $ - Other Debts - Itemize $ - $ -
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Other Assets $ - $ - TOTAL LIABILITIES $ - $ -
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TOTAL ASSETS $ - $ - NET WORTH $ - $ -
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SOURCES OF INCOME Applicant Co-Applicant CONTINGENT LIABILITIES
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Base Salary $ - $ - As Endorser or Co-Maker on Notes $ -
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Overtime Wages $ - $ - Alimony $ -
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Bonus & Commissions $ - $ - Child Support $ -
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Dividends and Interest Income $ - $ - Are you defendant in any legal action?
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Real Estate Income (Net) $ - $ - Are there any unsatisfied judgments?
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Other Income - Itemize $ - $ - Have you ever taken bankruptcy?
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TOTAL $ - $ -
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GENERAL INFORMATION Applicant Co-Applicant PROJECTED MONTHLY EXPENSES
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Personal Bank Accounts atMaintenance $ -
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Apartment Financing $ -
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Other Mortgages $ -
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Purpose of Loan(s) Outstanding
Bank Loans $ -
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Auto Loan $ -
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TOTAL $ -
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