First Citizens Financial Statement PDF Details

The First Citizens Financial Statement is now available. This comprehensive report details the bank's financial position, performance, and outlook. It is a valuable resource for shareholders, analysts, and other interested parties. The statement was prepared in accordance with Generally Accepted Accounting Principles (GAAP) and provides a complete overview of First Citizens' financial condition. (add more here as needed...) Financial statements are an important part of running a business and provide insights into the company's overall health and performance. The First Citizens Financial Statement is no exception, providing shareholders and other interested parties with a detailed overview of the bank's finances. The statement was prepared in accordance with GAAP and covers all aspects of the company's financial condition.

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Form NameFirst Citizens Financial Statement
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfirst bank personal financial, first citizen bank statement, first citizens financial, first citizens bank financial statement

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INTERNAL USE ONLY

Branch _______________________________________

Associate ____________________________________

Please mail or fax completed and signed form along with an Application to:

First Citizens Bank – Working Capital Finance • P.O. Box 4715 • Greensboro, NC 27404 • Toll Free Tel: (866) 214-2476 / Fax (336) 292-3725

Check One:

 

Individual Account PERSONAL FINANCIAL STATEMENT

 

 

Initials

 

 

 

Joint Account

Submitted to First Citizens Bank As of (Date):

 

 

 

 

 

 

 

 

_______________________________

 

(applicant/borrower)

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL INFORMATION (Please Print)

NAME OF FIRST INDIVIDUAL

 

 

 

 

 

 

 

NAME OF SECOND INDIVIDUAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME ADDRESS

 

 

 

 

 

YRS. AT ADDRESS

HOME ADDRESS

 

 

 

 

 

YRS. AT ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY, STATE, ZIP

 

 

 

 

 

BIRTHDATE

CITY, STATE, ZIP

 

 

 

 

 

BIRTHDATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NO.

 

 

 

 

 

 

 

SOCIAL SECURITY NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER

 

 

 

 

 

YRS. AT

EMPLOYER

 

 

 

 

 

YRS. AT EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME PHONE

WORK PHONE

 

 

HOME PHONE

WORK PHONE

(

 

)

 

(

 

)

 

 

 

 

(

 

)

 

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check this box if you are providing a current year’s income tax return complete with all schedules in lieu of completing the below section, “Annual Income”. By doing so, you certify that the tax return information is correct and that First Citizens Bank may rely upon it as stated below. Note: The annual Expenditures and Contingent Liabilities Sections must still be completed.

ANNUAL INCOME AND EXPENDITURES FOR YEAR ENDED:

GROSS ANNUAL INCOME

 

 

BORROWER

CO-BORROWER

COMBINED

ANNUAL EXPENDITURES

BORROWER

CO-BORROWER

COMBINED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SALARY, BONUSES & COMMISSIONS

 

 

 

 

 

MORTGAGE/RENTAL PAYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIVIDENDS, INTEREST

 

 

 

 

 

 

 

REAL ESTATE TAXES & ASSESSMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REAL ESTATE INCOME

 

 

 

 

 

 

 

TAXES-FEDERAL, STATE & LOCAL

 

 

 

 

 

OTHER INCOME (List)**

 

 

 

 

 

 

 

INTEREST AND PRINCIPAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENTS ON LOANS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALIMONY, CHILD SUPPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAINTENANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER EXPENSES (List)

 

 

 

 

 

Any significant changes expected in the next 12 months?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

(If yes, attach information)

Combined Totals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL INCOME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Combined Totals

** Alimony, Child Support or Separate Maintenance income need not be revealed if you

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

do not wish to have it considered as a basis for repaying this obligation.

TOTAL EXPENDITURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATEMENT OF FINANCIAL CONDITIONS AS OF (Date):

ASSETS

BORROWER

CO-BORROWER

COMBINED

 

LIABILITIES

BORROWER

CO-BORROWER

COMBINED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CASH (Sch A)

 

 

 

 

 

 

NOTES PAYABLE TO THIS BANK

 

 

 

 

 

DEPOSITS IN THIS BANK (Sch A)

 

 

 

 

 

 

SECURED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPOSITS IN OTHER BANKS (Sch A)

 

 

 

 

 

 

UNSECURED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

READILY MRKTBLE SECURITIES (Sch B)

 

 

 

 

 

 

NOTES PAYABLE TO OTHERS (Sch G)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NON-READILY MRKTBLE SECURITIES (Sch C, Sch F)

 

 

 

 

 

 

SECURED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCOUNTS AND NOTES RECEIVABLE

 

 

 

 

 

 

UNSECURED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENTIAL REAL ESTATE (Sch D)

 

 

 

 

 

 

ACCOUNTS PAYABLE (Incl Chg Cards) (Sch G)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REAL ESTATE INVESTMENTS (Sch D)

 

 

 

 

 

 

MARGIN ACCOUNTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CASH VALUE OF LIFE INS. (Sch E)

 

 

 

 

 

 

NOTES DUE: BUSINESS VENTURES (Sch F)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRA, KEOGH, PROFIT-SHARING & OTHER

 

 

 

 

 

 

TAXES PAYABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VESTED RETIREMENT ACCOUNTS

 

 

 

 

 

 

MORTGAGE DEBT (Sch D)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEFERRED INCOME

 

 

 

 

 

 

 

 

 

 

 

 

 

(Number of Years Deferred

__________________

)

 

 

 

 

 

 

 

LIFE INSURANCE LOANS (Sch E)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTOMOBILES (List):

 

 

 

 

 

 

 

OTHER LIABILITIES (List):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL PROPERTY/OTHER ASSETS (List):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Combined Totals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Combined Totals

 

Net Worth

 

 

 

 

$0.00

TOTAL ASSETS

 

 

 

 

 

 

LIABILITIES & NET WORTH

 

 

 

 

$0.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6/07)

Page 1

NAME ___________________________________________________

SCHEDULE A - Cash, Checking and Savings Accounts, Certificates of Deposit, Money Market Funds, Etc.

FINANCIAL INSTITUTION

ACCOUNT TYPE

OWNER

(J)

IF PLEDGED, TO WHOM?

BALANCE

SCHEDULE B & C - U.S. Government & Marketable Securities or Non-Marketable Securities (Please Indicate if Non-Marketable) (Use Additional Sheet if Necessary)

NO. OF SHARES OR VALUE OF BONDS

DESCRIPTION

IN NAME(S) OF

ARE THESE REGISTERED,

PLEDGED, OR HELD BY OTHER?

MARKET VALUE

EXCHANGES

WHERE TRADED

SCHEDULE D - Personal Residence & Real Estate Investments, Mortgage Debt (Attach Additional Schedule if Necessary) *Including Taxes and Insurance

TYPE OF PROPERTY

LEGAL

OWNER

PURCHASE

YEAR/PRICE

MARKET VALUE

PRESENT

LOAN BALANCE

INTEREST

LOAN

RATE

MATURITY DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTHLY PAYMENT*

% OWNED

LENDER

SCHEDULE E - Life Insurance Carried, Including Group Insurance

NAME OF INSURANCE COMPANY

OWNER OF POLICY

BENEFICIARY & RELATIONSHIP

TYPE OF POLICY

FACE AMOUNT

POLICY LOANS

CASH SURRENDER

 

 

 

 

 

 

VALUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULE F - Business Ventures (Use Additional Sheets if Necessary)

LIST NAME & ADDRESS OF ANY BUSINESS VENTURE

IN WHICH YOU ARE A PRINCIPAL OR PARTNER

YOUR POSITION/TITLE

IN THE BUSINESS

LINE OF BUSINESS

YEARS IN

CURRENT

YOUR % OF

BAL. DUE ON PARTNER-

FINAL

BUSINESS

MARKET VALUE

OWNERSHIP

SHIP NOTES, CASH CALL

CONTRIBUTION DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULE G - Loans Owing Banks, Broker, Finance Companies, and Others (Mastercard, Visa, Etc.)

OWING TO (ACCT. NO.)

 

(J)

 

LINE/ORIGINAL

 

PRESENT BALANCE

 

TYPE OF LOAN

 

MONTHLY

 

DATE OF

 

SECURED BY

 

AMOUNT & DATE

 

 

 

PAYMENT

 

FINAL PAYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTINGENT LIABILITIES

 

 

YES

 

NO

Income Tax Returns filed through

Have (either of) you or any firm in

 

 

 

 

 

 

 

 

 

which you were a major owner ever

 

 

 

 

 

 

 

 

 

(d/m/yyyy):

______________________

 

Are you a guarantor, co-maker, or endorser for any debt of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

declared bankruptcy?

 

 

an individual, corporation, or partnership?

 

 

 

 

 

 

 

 

Are any tax obligations past due?

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have any outstanding letters of credit or surety bonds?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

If yes, please provide details:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are there any suits or legal actions pending against you?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_________________________________

 

Are you contingently liable on any lease or contract?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_________________________________

 

What would be your total estimated tax liability if you were to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sell your major assets?

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes for any of the above, give detail: (Use additional sheets if necessary)

This financial statement is given to First Citizens Bank (the “Bank”) by the person(s) signing this statement in connection with an application for credit or extension of credit to such person(s) or to another based upon the guarantee of such person(s). Every person signing this statement agrees that the Bank is entitled to rely upon the information in this statement in its credit decision relating to such person or to another based upon the guarantee of such person.

Every person who signs this financial statement certifies and agrees that (1) the information provided in this statement is true and complete and gives an accurate description of such person’s financial condition; except as listed on this statement, (2) such person has no undisclosed direct or contingent liabilities; and (3) title to all listed assets is solely in the name of such person and no other person or entity has an interest in such assets, unless otherwise listed in this statement. In the event of any change in such person’s name, address, or employment, such person agrees to send written notice to the Bank within five (5) business days after such change. Every person who signs this statement further agrees to send written notice to the Bank within five (5) business days after the occurrence of any material and adverse change (A) in any of the information contained in this statement, or (B) in the ability of such person to perform his or her obligations which are owed to the Bank or (C) in the financial condition of such person. If no such written notice is given, the Bank shall be authorized to consider this statement as a continuing statement, substantially correct in all respects.

The Bank if hereby authorized to request a consumer report on any person signing this statement in connection with the present application for credit or any update, renewal, or extension of such credit. Upon request, the Bank will tell any such person whether or not a consumer report was requested and if requested, the name and address of the consumer reporting agency that furnished the report. Every person signing this statement further authorizes the Bank to make all necessary inquiries to verify the information in this statement and also authorizes all such persons or entities the Bank contacts to completely respond to such inquiries.

Date Signed _______________________________, __________________

Signature (First Individual) ____________________________________________________________________

Date Signed _______________________________, __________________

Signature (Second Individual) _________________________________________________________________

(6/07)12/05)

Page 2

How to Edit First Citizens Financial Statement Online for Free

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Step 1: Click the button "Get Form Here".

Step 2: As soon as you've accessed the editing page first citizens bank financial statement, you will be able to discover all of the actions intended for your form within the top menu.

The PDF form you are about to fill in will cover the next segments:

completing first citizen bank statement stage 1

Note the necessary particulars in the box GROSS ANNUAL INCOME, BORROWER, COBORROWER, COMBINED, ANNUAL EXPENDITURES, BORROWER, COBORROWER, COMBINED, SALARY BONUSES COMMISSIONS, DIVIDENDS INTEREST, REAL ESTATE INCOME, OTHER INCOME List, Any significant changes expected, Yes, and If yes attach information.

first citizen bank statement GROSS ANNUAL INCOME, BORROWER, COBORROWER, COMBINED, ANNUAL EXPENDITURES, BORROWER, COBORROWER, COMBINED, SALARY BONUSES  COMMISSIONS, DIVIDENDS INTEREST, REAL ESTATE INCOME, OTHER INCOME List, Any significant changes expected, Yes, and If yes attach information blanks to insert

The system will require you to present some necessary details to conveniently fill in the area IRA KEOGH PROFITSHARING OTHER, DEFERRED INCOME Number of Years, PERSONAL PROPERTYOTHER ASSETS List, TOTAL ASSETS, TAXES PAYABLE, MORTGAGE DEBT Sch D, LIFE INSURANCE LOANS Sch E, OTHER LIABILITIES List, Total Liabilities, Combined Totals, Net Worth, LIABILITIES NET WORTH, Combined Totals, and Page.

Filling out first citizen bank statement step 3

For paragraph SCHEDULE A Cash Checking and, NAME, FINANCIAL INSTITUTION, ACCOUNT TYPE, OWNER, IF PLEDGED TO WHOM, BALANCE, SCHEDULE B C US Government, ARE THESE REGISTERED PLEDGED OR, EXCHANGES WHERE TRADED, MARKET VALUE, IN NAMES OF, DESCRIPTION, SCHEDULE D Personal Residence, and LOAN MATURITY DATE, state the rights and responsibilities.

step 4 to completing first citizen bank statement

Review the areas SCHEDULE F Business Ventures Use, LIST NAME ADDRESS OF ANY BUSINESS, YOUR POSITIONTITLE IN THE BUSINESS, LINE OF BUSINESS, YEARS IN BUSINESS, CURRENT MARKET VALUE, YOUR OF OWNERSHIP SHIP NOTES CASH, BAL DUE ON PARTNER, FINAL, SCHEDULE G Loans Owing Banks, LINEORIGINAL AMOUNT DATE, OWING TO ACCT NO, PRESENT BALANCE, TYPE OF LOAN, and DATE OF FINAL PAYMENT and next fill them in.

first citizen bank statement SCHEDULE F  Business Ventures Use, LIST NAME  ADDRESS OF ANY BUSINESS, YOUR POSITIONTITLE IN THE BUSINESS, LINE OF BUSINESS, YEARS IN BUSINESS, CURRENT MARKET VALUE, YOUR  OF OWNERSHIP SHIP NOTES CASH, BAL DUE ON PARTNER, FINAL, SCHEDULE G  Loans Owing Banks, LINEORIGINAL AMOUNT  DATE, OWING TO ACCT NO, PRESENT BALANCE, TYPE OF LOAN, and DATE OF FINAL PAYMENT blanks to complete

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