California Balance Sheet (LIC 403) PDF Details

The California Balance Sheet (LIC 403), issued by the California Department of Social Services Community Care Licensing Division, provides a complete picture of an entity's financial position at a specific point in time. Every applicant and licensee must submit this form during the initial licensing process and at each renewal.

The form captures two main categories of financial information:

Total equity is then calculated by subtracting Total Liabilities from Total Assets. The LIC 403 applies to sole proprietorships, partnerships, and corporations alike. All assets and liabilities of the entity must be reported, not just those tied to the care facility operations.

Before completing the LIC 403, applicants must first fill out the LIC 403a supplemental schedule. This companion form provides the line-by-line asset and liability detail that supports the summary figures reported on the balance sheet. Both forms are submitted together as part of the licensing or renewal package.

For related financial documents, see the Projected Balance Sheet, the Model Balance Sheet, and the Individual Financial Statement.

QuestionAnswer
Form NameCalifornia Balance Sheet
Also Known AsLIC 403, LIC 403a, CA DSS Balance Sheet
Issuing AuthorityCalifornia DHHS Community Care Licensing Division
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslic 403 balance sheet, ca dss balance, ca balance sheet, what is a balance sheet

How to Edit California Balance Sheet Online for Free

You can complete the California Balance Sheet (LIC 403) online using our free PDF editor. The steps below guide you through the process quickly and accurately.

Step 1: Open the California Balance Sheet Form

Click the orange "Get Form Now" button at the top of this page. The LIC 403 loads instantly in the online editor. No software installation or account creation is required.

Step 2: Access the Editing Toolbar

Once the form is open, you will find all editing tools in the top menu. You can type into text fields, add a signature, highlight sections, or annotate the document before saving.

lic 403 balance sheet spaces to fill in

Step 3: Fill In the Asset and Liability Sections

Work through each financial field carefully. Complete the following key areas:

  • Total Long-Term Assets (add lines through)
  • Total Assets (add lines and)
  • Credit accounts open and revolving
  • Salaries and wages payable
  • Taxes payable and other payables
  • Mortgages, auto loans, and equipment loans
  • Total Liabilities
stage 2 to finishing lic 403 balance sheet

Step 4: Complete the Equity Section

In the Equity section, subtract your total liabilities from total assets to calculate equity. Then complete the perjury declaration and enter the prepared-by name, title, applicant or licensee signature, and date.

step 3 to completing lic 403 balance sheet

Step 5: Download and Submit

Click Done when all fields are complete. Download the finished LIC 403 to your device, or send it by email directly from the editor. Print and submit it with the LIC 403a supplemental schedule to the Community Care Licensing Division.

Common Mistakes to Avoid on the LIC 403

The following errors appear frequently on submitted California Balance Sheets:

  • Reporting facility assets only. The form requires ALL entity assets and liabilities, not just those related to the care facility. Report every asset and liability the entity holds.
  • Omitting the LIC 403a supplemental schedule. The LIC 403a must be completed first and submitted together with the LIC 403. Submitting one without the other delays the application.
  • Leaving the equity calculation blank. Equity equals total assets minus total liabilities. This line must be calculated and filled in.
  • Missing the signature. The applicant or licensee must sign and date the completed form. An unsigned balance sheet is returned without review.
  • Using outdated form versions. Always use the current revision of the LIC 403. The version date appears in the footer of the document.

Frequently Asked Questions

What is the California Balance Sheet (LIC 403) used for?

The LIC 403 discloses the complete financial position of an entity applying for or renewing a care facility license issued by the California Community Care Licensing Division. It shows total assets, liabilities, and equity at a specific point in time and is used to verify the financial stability of the applicant or licensee.

Who must submit the California Balance Sheet?

Every applicant and licensee under the Community Care Licensing Division must submit the LIC 403. This requirement applies to sole proprietorships, partnerships, and corporations operating or seeking to operate a licensed care facility in California.

Is the LIC 403a required along with the LIC 403?

Yes. The LIC 403a is a supplemental schedule that provides the detailed asset and liability line items supporting the totals on the LIC 403. Both documents must be completed and submitted together. Do not submit the LIC 403 without the accompanying LIC 403a.

Can I complete the California Balance Sheet online?

Yes. Use the free PDF editor on this page to fill in all fields, add your signature, and download the finished LIC 403 at no cost. No software or account is needed.

What financial information do I need before starting?

Gather all current and long-term asset values (cash, property, equipment), all liability amounts (mortgages, loans, unpaid wages, taxes), and the current date. Having this information ready before you open the form reduces completion time.

Related Financial Forms

If you need other financial disclosure documents, the following may be useful:

Watch California Balance Sheet Video Instruction

Please rate California Balance Sheet

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .