| VI. ASSETS AND LIABILITIES |
| This statement and any applicable
supporting schedules may be completed jointly by both
married and unmarried Co- borrowers if their assets and
liabilities are sufficiently joined so that the
statement can be meaningfully and fairly presented on a
combined basis; otherwise separate Statements and
Schedules are required. If the Co- Borrower section was
completed about a spouse, this Statement and supporting
schedules must be completed about that spouse
also. |
| |
Completed  Jointly
Not Jointly |
| ASSETS |
Cash or Market
Value |
Liabilites
and Pledged Assets. List the creditor's name,
address and account number for all outstanding debts,
including automobile loans, revolving charge accounts,
real estate loans, alimony, child support, stock
pledges, etc. Use continuation sheet, if necessary.
Indicate by (*) those liabilities which will be
satisfied upon sale of real estate owned or upon
refinancing of the subject property.
|
| Cash deposit toward purchase held by: |
$ |
LIABILITES |
Monthly Pmt.
&
Mos. Left to
Pay |
Unpaid
Balance |
| List checking
and savings accounts below |
|
| Name & Address of Bank, S&L,
or Credit Union
|
Name & Address of
Company
|
$ Pat/Mos.
|
$
- |
| Acct. no. |
$ |
Acct. no. |
| Name & Address of Bank, S&L,
or Credit Union
|
Name & Address of
Company
|
$ Payt./Mos.
|
$
- |
| Acct. no. |
$ |
Acct. no. |
| Name & Address of Bank, S&L,
or Credit Union
|
Name & Address of
Company
|
$ Payt./Mos.
|
$
|
| Acct. no. |
$ |
Acct. no. |
| Name & Address of Bank, S&L,
or Credit Union
|
Name & Address of
Company
|
$ Payt./Mos.
|
$
- |
| Acct. no. |
$ |
Acct. no. |
| Stocks & Bonds(Company name/
number & description)
|
$
|
Name & Address of
Company
|
$ Payt./Mos.
|
$
|
| Acct. no. |
$ |
Acct. no. |
| Life insurance net cash
value
|
|
Name & Address of
Company
|
$ Payt./Mos.
|
$
- |
| Face amount $ |
$ |
Acct. no. |
Subtotal Liquid
Assets
|
$ |
Name & Address of
Company
|
$ Payt./Mos. |
$ |
| Real Estate owned enter market value from schedule
or real estate owned, (page 3.)
|
$ |
Acct.
no.
|
Vested interest in retirement
fund
|
$ |
Name & Address of
Company
|
$ Payt./Mos. |
$ |
Net worth of business(es) owned (attach financial
statement)
|
$ |
Acct. no.
|
| Automobiles owned (make and year)
|
$ |
Alimony/Child
Support/Separate Maintenance Payments |
$ |
. |
| Other Assets (itemize)
|
$
|
Job Related Expense (child
care, union dues, etc. )
|
$ |
.
|
| Total Monthly
Payments |
$ |
. |
| Total
Assets a. |
$ |
Net Worth
(a-b) |
$ |
Total
Liabilities b. |
$ |