Filetype Excel XLSX | Posted on 08 Aug 2022 | 3 years ago
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191x Filetype XLSX File size 0.11 MB Source: farmcredit.getbynder.com
Sheet 1: Balance Sheet
| Balance Sheet | |||||||||||||||
| STATEMENT OF: | MM/DD/YY | ||||||||||||||
| List all assets at fair market value. List all debts, to whom owed, interest rates, and payments. Attach additional sheets if necessary. | |||||||||||||||
| 1. CURRENT ASSETS | Account No. | Current Value | Adjustments | ADJUSTED (Office Use) | 5. CURRENT LIABILITIES (Due in less than 1 year) | Amount Owed | Adjustments | ADJUSTED (Office Use) | |||||||
| Checking | 0 | Accounts Payable | 0 | ||||||||||||
| Savings | 0 | Credit Cards | 0 | ||||||||||||
| Bank Name | Accrued Int. (Current Liab.) | 0 | |||||||||||||
| Accrued Int. (I.T. Liab.) | 0 | ||||||||||||||
| Accounts Receivable | 0 | Accrued Int. (L.T. Liab.) | 0 | ||||||||||||
| Marketable Securities | 0 | Rental(s)/ Lease(s) | 0 | ||||||||||||
| Livestock & Commodities for Sale & Feed | Income Tax and Social Security | 0 | |||||||||||||
| Describe | # units | Unit Value | R. E. Taxes & Property Taxes | 0 | |||||||||||
| 0 | 0 | CCC Loans / Accounts | 0 | ||||||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | Operating Loans: Lender | Date Due | Rate | |||||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | Other Current Liabilities | 0 | ||||||||||||
| Hedging Account | 0 | 0 | |||||||||||||
| Investments in Growing Crops | 0 | 0 | |||||||||||||
| Prepaid Expenses | 0 | Current Liabilities From Attached Schedule | 0 | 0 | 0 | ||||||||||
| Supplies on Hand | 0 | A. Prin. Portion I.T. Liabilities Due in 12 mo. (from 6. below) | 0 | 0 | 0 | ||||||||||
| Current Assets From Attached Schedule | 0 | 0 | 0 | B. Prin. Portion L.T. Liabilities Due in 12 mo. (from 7. below) | 0 | 0 | 0 | ||||||||
| 1. TOTAL CURRENT ASSETS | 0 | 0 | 0 | 5. TOTAL CURRENT LIABILITIES | 0 | 0 | 0 | ||||||||
| 2. INTERMEDIATE ASSETS (Assets not normally sold during the year) | 6. INTERMEDIATE LIABILITIES (Due 1-10 years) | ||||||||||||||
| Breeding Livestock | Number | Unit Value | Lender | Collateral | Date Due | Rate | Prin Due 12 mo | ||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Personal Vehicles | 0 | 0 | 0 | 0 | |||||||||||
| Trucks | 0 | 0 | 0 | 0 | |||||||||||
| Machinery & Equipment | 0 | ||||||||||||||
| Begin. | 0 | ||||||||||||||
| Sold | Depreciation | 0 | 0 | 0 | 0 | ||||||||||
| Securities - Not readily marketable | 0 | 0 | 0 | ||||||||||||
| Cash Value Life Insurance | 0 | 0 | |||||||||||||
| Retirement Accounts | 0 | 0 | |||||||||||||
| 0 | Intermediate Liabilities From Attached Schedule | 0 | 0 | 0 | 0 | ||||||||||
| Intermediate Assets From Attached Schedule | 0 | 0 | 0 | Subtract Principal Due in 12 Months (show in 5.A. above) | 0 | 0 | |||||||||
| 2. TOTAL INTERMEDIATE ASSETS | 0 | 0 | 0 | 6. TOTAL INTERMEDIATE LIABILITIES | 0 | 0 | 0 | ||||||||
| 3. LONG-TERM ASSETS (Real Estate & Improvements) | 7. LONG TERM LIABILITIES (Due in more than 10 years) | ||||||||||||||
| Acres | Cost | Improvements | Year Purch | Lender | Collateral | Date Due | Rate | Prin Due 12 mo | |||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Bin | 0 | 0 | |||||||||||||
| Hog Barn | 0 | 0 | |||||||||||||
| Non-farm real estate | 0 | 0 | |||||||||||||
| Farm Credit Stock | 0 | Long Term Liabilities From Attached Schedule | 0 | 0 | 0 | 0 | |||||||||
| Long Term Assets From Attached Schedule | 0 | 0 | 0 | Subtract Principal Due in 12 Months (show in 5.B. above) | 0 | 0 | |||||||||
| 3. TOTAL LONG TERM ASSETS | 0 | 0 | 0 | 7. TOTAL LONG TERM LIABILITIES | 0 | 0 | 0 | ||||||||
| 4. TOTAL ASSETS (1+2+3) | 0 | 0 | 0 | 8. TOTAL LIABILITIES (5+6+7) | 0 | 0 | 0 | ||||||||
| Lease Obligations: | Amt. Due in 12 Mos. | Total Unpaid Bal. | 9. NET WORTH (4-8) | 0 | 0 | 0 | |||||||||
| Lessor(s): | 10. WORKING CAPITAL (1-5) | 0 | 0 | 0 | |||||||||||
| Lessor(s): | 11. OWNERSHIP EQUITY (9/4) | #DIV/0! | #DIV/0! | ||||||||||||
| ADDITIONAL INFORMATION | PLEASE EXPLAIN ANY "YES" ANSWERS | ||||||||||||||
| Are there any judgements of record against you? | |||||||||||||||
| Have you been a debtor in bankruptcy in the past 10 years? | |||||||||||||||
| Are you party to a lawsuit? | |||||||||||||||
| Are any of your taxes delinquent or under dispute? | |||||||||||||||
| Are you obligated as a cosigner or guarantor on any other obligations? | |||||||||||||||
| Does anyone else own an interest in the property listed on the balance sheet? | |||||||||||||||
| SIGNATURES AND AUTHORIZATIONS | |||||||||||||||
| By signing below, we certify that this information, together with any accompanying schedule(s), is a true and correct and complete statement of our financial condition as of the date | |||||||||||||||
| indicated and that our financial condition has not materially changed. We understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any | |||||||||||||||
| false statements in this application as applicable under the provisions of Title 18, United States Code, Section 1014. We consent to any credit investigation necessary to act on or | |||||||||||||||
| verify the supplied information and acknowledge that we may be asked to provide additional information. PHOTOCOPIES OF THIS AUTHORIZATION MAY BE PRESENTED TO AND | |||||||||||||||
| RELIED UPON AS OUR AUTHORIZATION TO RELEASE INFORMATION TO FARM CREDIT SERVICES (PCA, FLBA, FLCA, or ACA, as applicable). Lender, its agents, successors | |||||||||||||||
| and assigns may report our names and information regarding this loan and all our past and future loans to credit reporting agencies. | |||||||||||||||
| Date Signed | |||||||||||||||
| Signature | Signature | ||||||||||||||
| Signature | Signature | ||||||||||||||
| Loan Entity | ASSN. NO. | B.O. No. | CIF NO. | LOAN NO. | LOAN OFF. NO. | CUSTOMER SHORT NAME | ADJ. BY: | NAME | DATE | ||||||
| FCS | 14 | BALANCE SHEET | |||||||||||||
| SCHEDULE | |||||||||||||||
| ATTACHMENT TO STATEMENT OF: | 0 | MM/DD/YY | |||||||||||||
| ASSETS | AS OF | 12/30/99 | |||||||||||||
| CURRENT ASSETS | Current Value | Adjustments | ADJUSTED (Office Use) | INTERMEDIATE ASSETS | Current Value | Adjustments | ADJUSTED (Office Use) | ||||||||
| Accounts Receivable | Breeding Livestock | ||||||||||||||
| Owed By | Terms | Description | Units | Unit Value | |||||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | 0 | |||||||||||||
| Subtotal - Accounts Receivable | 0 | 0 | 0 | 0 | 0 | ||||||||||
| Marketable Securities | 0 | 0 | |||||||||||||
| No. | Description | Subtotal - Breeding Livestock | 0 | 0 | 0 | ||||||||||
| 0 | Personal Vehicles | ||||||||||||||
| 0 | Year | Make/Model/Serial Number | |||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal - Marketable Securities | 0 | 0 | 0 | 0 | |||||||||||
| Feeder Livestock | 0 | ||||||||||||||
| Description | Weight | No. of Units | Unit Value | 0 | |||||||||||
| 0 | 0 | Subtotal - Personal Vehicles | 0 | 0 | 0 | ||||||||||
| 0 | 0 | Trucks | |||||||||||||
| 0 | 0 | Year | Make/Model/Serial Number | ||||||||||||
| 0 | 0 | 0 | |||||||||||||
| Subtotal - Feeder Livestock | 0 | 0 | 0 | 0 | |||||||||||
| Crops and Feed | 0 | ||||||||||||||
| Description | No. of Units | Unit Value | Subtotal - Trucks | 0 | 0 | 0 | |||||||||
| 0 | 0 | Machinery/Equipment | |||||||||||||
| 0 | 0 | Year | Make/Model/Serial Number | ||||||||||||
| 0 | 0 | 0 | |||||||||||||
| 0 | 0 | 0 | |||||||||||||
| Subtotal - Crops and Feed | 0 | 0 | 0 | 0 | |||||||||||
| Investment in Growing Crops | 0 | ||||||||||||||
| Full Share Acres | Description | 0 | |||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal - Investment in Growing Crops | 0 | 0 | 0 | 0 | |||||||||||
| Supplies on Hand | 0 | ||||||||||||||
| Description | Quantity | 0 | |||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal - Supplies on Hand | 0 | 0 | 0 | 0 | |||||||||||
| Other Current Assets | 0 | ||||||||||||||
| Description | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal - Other Current Assets | 0 | 0 | 0 | 0 | |||||||||||
| TOTAL CURRENT ASSETS - ATTACHMENT | 0 | 0 | 0 | 0 | |||||||||||
| 0 | |||||||||||||||
| LONG TERM ASSETS | Subtotal - Machinery/Equipment | 0 | 0 | 0 | |||||||||||
| Contract Receivables | Cash Value - Life Insurance | ||||||||||||||
| Owed By | Description/Terms | Amt.Due in 12 mo. | Company | Insured Name | Face Value | ||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal Contract Receivables | 0 | 0 | 0 | 0 | Subtotals - Life Insurance | 0 | 0 | 0 | 0 | ||||||
| Real Estate | Securities - Not Readily Marketable | ||||||||||||||
| Acres | Cost | Improvements | How Titled | Year Purchased | Number | Description | |||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | Subtotal - Sec. Not Readily Marketable | 0 | 0 | 0 | |||||||||||
| 0 | Retirement Accounts | ||||||||||||||
| 0 | Description | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal - Real Estate | 0 | 0 | 0 | Subtotal - Retirement Accounts | 0 | 0 | 0 | ||||||||
| Other Long Term Assets | Other Intermediate Assets | ||||||||||||||
| Description | Description | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| 0 | 0 | ||||||||||||||
| Subtotal - Other Long Term Assets | 0 | 0 | 0 | Subtotal - Other Intermediate Assets | 0 | 0 | 0 | ||||||||
| TOTAL LONG TERM ASSETS - ATTACHMENT | 0 | 0 | 0 | **TOTAL INT. ASSETS ATTACHMENT | 0 | 0 | 0 | ||||||||
| ** Does not include Personal Vehicles, Trucks, & Machinery/Equipment | |||||||||||||||
| LIABILITIES | |||||||||||||||
| LENDER | Collateral | Date Due | Rate | Prin Due 12 months | Amount Owed | Adjustments | ADJUSTED (Office Use) | ||||||||
| CURRENT LIABILITIES (Due in less than 1 year) | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| TOTAL CURRENT LIABILITIES | 0 | 0 | 0 | ||||||||||||
| INTERMEDIATE LIABILITIES (Due in 1 - 10 years) | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| TOTAL INTERMEDIATE LIABILITIES | 0 | 0 | 0 | 0 | |||||||||||
| LONG TERM LIABILITIES (Due in more than 10 years) | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| 0 | |||||||||||||||
| TOTAL LONG TERM LIABILITIES | 0 | 0 | 0 | 0 | |||||||||||
| Loan Entity | ASSN. NO. | B.O. No. | CIF NO. | LOAN NO. | LOAN OFF. NO. | CUSTOMER SHORT NAME | ADJ. BY: | NAME | DATE | ||||||
| FCS | 14 | 0 | 0 | 0 | 0 | 0 | 0 | 12/30/99 | BALANCE SHEET | ||||||
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