Balance Sheet - First National Bank in Olney · BALANCE SHEET STATEMENT MO. DAY YEAR OF AS / / TO...
Transcript of Balance Sheet - First National Bank in Olney · BALANCE SHEET STATEMENT MO. DAY YEAR OF AS / / TO...
BALANCE SHEET MO. DAY YEARSTATEMENT
OF AS OF / / TO First National Bank in Olney
Comract!sl Notes Rte
Amounts From Schedule at 3 SHOW TOTAL ABOVE
Amounts From Schedule at 6
Are you obl11ated to pay alimony, child support, or separate mamlenance?.. . . . D YES D NO Does anyone else own an interest m the property listed? . . ..... . . ... D YES D NO ti YES. who D spouse D other: _________________
What property D real estate D other: ___ _ ______ ____ _
Assets normally sold or CURRENT converted to cash during the year CURRENT ASSETS
VALUE
Cash Savings Accts. Receivable Marketable Sec. Hedging Account Equity Commodities For Sale & Feed
Untl ccco, Kind No. of Units Value Con1racl
Investment in Growing Crops
Feed Fert. Fuel
livestock Held For Sale
Seed Chem. Other Supplies
Number wt. Unit Value
I. CURRENT ASSETS Amounts from Schedule at I
Subtotal I.T. ASSETS Assets not normally sold during the year
Breeding livestock Number Wt.
Auto(s) Truck(s)
Machinery: Beg. S (-) Value Disposed $ 1-1 Depr. S
Marketable Set lite Insurance Rebrement Nott(sJ .t.ccolll'lts Rea1oble
Amounts From Schedule at 2 2. INTERMEDIATE TERM ASSETS Subtotal
LONG TERM ASSETS Real Estate & Improvements
Acres: How rnled Yr. Purch. Orig. Cost lmp,ovement t Since Purchase
3. LOIIG TERII ASSETS Subtotal
TOTAL ASSETS 1 • 2 • 3
I hawe endorsed contract(s) or loan(s) for the followin1 purpose: $
D None
Ale thefe any1udaments ol record aaa1nstyou? . .. DYES O NO Have you been declared bankrupl m the last 14 yrs? ... .. 0 YES ONO Are you a party to a lawwiP · ... . . . D YES ONO Are anyolyour tues dellnquent or underdispute? . . 0 YES O NO
CURRENT LIABILITIES Amounts due ,n I year AMOUNT(S) Creditor(s) Name: OWED
Feed Seed F..-tilizer Chemicals
Fuel
Repairs
Other Accounts
Rent(s)/ lease(s)
Estimated & Accrued:
Income Tax: Soc. Sec.:
R. E. Taxes Property Taxes Accrued I.T. Interest $
Accrued L.T. Interest $
A<..crued lnteies! NOTES TO: Secured By Date Oue Unpaid Principal •
Principal Portion I.T. liabilities due in 12 mos (from below)
Principal Portion long Term l1ab1lties due in 12 mos. (from below)
Amounts From Schedule at 4
4. CURRENT LIABILITIES Subtotal
Debts due in more than l and lessI.T. LIABILITIES than 10 yrs. (less current amounts)
Secu1ed 8y Rate
SHOW TOTAL ABOVE lllelns. LOins
Amounts From Schedule at 5 5. INTERMEDIATE TERM LIABILITIES Subtotal
LONG TERM LIABILITIES %"~.a;:::::.."'!"-.," Owed Secured
To 8-,IAc,es Rate
E1ptainanyYESanswers - - - ----- --------- --- - ---- --- --------------- - ----!Continue on Attachment!
Everything that I / We have stated is correct to the best of my / our knowledge. The foregoing, together with any accompanying schedule, 1s a true, correct and complete statement of my / ou r financial condition as of the date shown above. I / We understand that FNB will retain this statement whether or not credit is approved.
SIGNED I ION SIGNATURE SIGNAIURE
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CROPSFARMS OPERATED j Yrs. Ste. N ETwp. Ran1t County Acres Opta. No. s wRECORD OWNER in Farm
PRODUCTION j Total Acres j Full Share Acres I Applicant's Full Share Production
Production last yr. (Acres / Yield)
MACHINERY & EQUIPMENT
Amount of (Prior Liens) No. & Description, Yr. Make, Model & Serial No. Valuation
Tractor(s)
Harvest Machine(s)
Plow(s)
Tillage Equipment
Planter(s)
Mower(s)
Wagon(s) & Trailer(s)
Grain Handling Equipment
Livestock Equipment
B. C. D. A. RENTAL Yield TERMSAcres Yield Acres Yield Acres Yield Acres
FARM INSURANCES•
Farm Property
Crop Hail
Federal Crop Ins.
Auto( s)
Truck( s)
Workmen' s Comp.
PERSONAL INSURANCES
life Ins. (Apptic.)
Life Ins.
Disability Income lns.
General Coverages Carried or in Force
Liab.$ Prop. $ Bldgs. S
Ordinary life S Term S
Fa mily Hospilalization
1. Marital Status ( ) Married ( ) Separated ( ) Unmarried (including single, divorced and widowed)
(Do not complet e if this is an application for indiv idual unsecured credit not primarily for agricultural purposes unless you reside in a community property state or property upon which you are relying as a basis for repayment of the credit requested is located in a community property state).
2 . Age of Dependents 3. Your Age Physical Condition
List of other incomes
Source Amount
Source , Amount
Income from alimony, child support and separate maintenance need not be revealed.
If a partnership or Corporation; give detai ls:
Shop Equipment
16. TOTAL VALUATION !MACH. & EQUIP. TOTALS! 13. Valuation
14. Prior Liens I