Business Financial Statement Form 1 - Free Download
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CORP – P04 [8/12] Texas Department of Banking Page 1
BUSINESS FINANCIAL STATEMENT
Name of Business ___________________________ Applicant __________________________
Prepared By _______________________________ Title (Position) ______________________
Limited Liability Company _____ Partnership _____ Corporation _____ Other _____
Statement of Financial Condition as of ___________________, 20_____ for the period
______________, ______ to ______________, ______
ASSETS
LIABILITIES AND NET WORTH
CURRENT ASSETS:
CURRENT LIABILITIES:
Cash on Premises
$
Accounts Payable (Schedule 6)
$
Cash in Banks (Schedule1a)
Accrued Interest on Borrowings
Certificates of Deposit (Schedule 1b)
Notes Payable - Current Portion
Stock, Bonds, &
Other Marketable Assets (Sch. 2)
Accrued Taxes
on Real Estate (Schedule 7)
Accounts, Loans, &
Notes Receivable (Sch. 3)
Accrued Taxes, Other (Schedule 7)
Advances to Employees
Other Current Payables (Itemize)
Prepaid Expenses (Schedule 4)
Other Current Assets (Itemize)
TOTAL CURRENT LIABILITIES
$
TOTAL CURRENT ASSETS
$
LONG-TERM LIABILITIES:
Notes Payable (Itemize)
$
FIXED ASSETS:
Real Estate & Buildings (Schedule 5)
$
Less: Accumulated Depreciation
Furniture, Equipment & Vehicles
Notes Payable
on Real Estate (Schedule 5)
Less: Accumulated Depreciation
Other Long-Term Liabilities (Itemize)
Other Fixed Assets (Itemize)
Other Long Term
Assets (Itemize if over 5% of total)
TOTAL LONG-TERM LIABILITIES
$
NET WORTH OR
STOCKHOLDERS’ EQUITY
$
(Schedule 8)
TOTAL ASSETS
$
TOTAL LIABILITIES &
NET WORTH
$
Assets pledged or hypothecated valued at $____________ are pledged to secure notes or obligations aggregating $_________________.
I have additionally endorsed, guaranteed or am contingently liable for debts of others amounting to $__________________.
