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Business Financial Statement Form 1 Page 2
Business Financial Statement Form 1
CORP P04 [8/12] Texas Department of Banking Page 2
S
CHEDULES
Schedule 1a. Cash in Financial Institutions.
Name of Financial Institution and Address
Account in Name Of
Type of
Account
Account
Number
Balance
TOTAL
Schedule 1b. Certificates of Deposit.
Name of Financial Institution and Address
Account in
Name Of
If Pledged,
State to Whom
Maturity Date
Account Number
Balance
TOTAL
Schedule 2. Stocks, Bonds & Other Marketable Assets.
Face Value Bonds
No. Stock Shares
Description
of Security
Registered in
Name of
Cost
Income Received
Last Year
If Pledged,
State to Whom
Present
Market
Value
TOTAL
Schedule 3. Accounts, Loans & Notes Receivable.
Name and Address of Debtor
Age of
Debt
Description or
Nature of Debt
Description of
Security Held
Date Payment
Expected
Amount
Owing
TOTAL
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