In order to keep your business finances in check, it is important to use the Rebny Financial Statement Form. This form will help you track your income and expenses so that you can make sure your books are balanced. The Rebny Financial Statement Form is a professional and informative resource that will be of great help to business owners everywhere.
We've gathered some quick information about the rebny financial statement form. This table will give you specifics of the form's length, finalization duration, and the parts you may be required to fill.
| Question | Answer |
|---|---|
| Form Name | Rebny Financial Statement Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | rebny financial statement pdf, rebny form pdf, rebny financial, rebny financial sheet |
FINANCIAL STATEMENT
PAGE 4
Name (s)
Address
The following is submitted as being a true and accurate statement of the financial condition of the undersigned on the ________day of ______________________ 19_____.
ASSETS |
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LIABILITIES |
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Applicant |
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Cash in banks |
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Notes Payable: |
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Money markets Funds |
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To Banks |
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Contract Deposit |
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To Relative |
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Investments: Bonds & Stocks |
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To Others |
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Installment Accounts Payable: |
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Investment in Own Business |
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Automobile |
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Accounts and Notes Receivable |
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Other |
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Real Estate Owned - see schedule |
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Other Accounts Payable |
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Make |
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Mortgages Payable on Real |
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Automobiles: |
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Estate - see schedule |
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Personal Property & Furniture |
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Unpaid Real Estate Taxes |
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Life Insurance |
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Unpaid Income Taxes |
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Cash Surrender Value |
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Chattel Mortgages |
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Retirement Funds/IRA |
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Loans on Life Insurance Policies |
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401K |
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(Include Premium Advances) |
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KEOGH |
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Outstanding Credit Card Loans |
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Profit Sharing/Pension Plan |
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Other Debts - itemize |
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Other Assets |
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TOTAL LIABILITIES |
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TOTAL ASSETS |
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NET WORTH |
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COMBINED ASSETS |
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SOURCE OF INCOME |
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Applicant |
COMBINED |
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Base Salary |
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CONTINGENT LIABILITIES |
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Overtime Wages |
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As Endorser or |
$ |
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Bonus & Commissions |
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Alimony Payments (Annual) |
$ |
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Dividends and Interest Income |
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Child Support |
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Real Estate Income (Net) |
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Are you defendant in any legal action? |
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Other Income - itemize |
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Are there any unsatisfied judgments? |
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TOTAL |
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Have you ever taken bankruptcy? Explain: |
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GENERAL INFORMATION |
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Applicant |
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Personal Bank Accounts at |
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PROJECTED EXPENSES / MONTHLY |
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Maintenance |
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Savings & Loans Accounts at |
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Apartment Financing |
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Other Mortgages |
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Bank Loans |
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Purpose of Loan |
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Auto Loan |
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TOTAL |
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SCHEDULE OF BONDS AND STOCKS
Amount of Shares |
Description (Extended Valuation in Column) |
Marketable Value |
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SCHEDULE OF REAL ESTATE
Description and Location |
Cost |
Actual Value |
Mortgage Amount |
Maturity Date |
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SCHEDULE OF NOTES PAYABLE
Specify any assets pledged as collateral, including the liabilities they secure:
To Whom Payable |
Date |
Amount |
Due |
Interest |
Pledged as Security |
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The foregoing application (pages 1 through 5) has been carefully prepared, and the undersigned hereby solemnly declare(s) and certify(s) that all the information contained herein is true and correct.
Date |
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19 |
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Signature |
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Date |
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19 |
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Signature |
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Rev. May/01 |
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