Persoonlijk financieel verslag
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Zakelijk Financiën financieel rapport planning formulier Totaal Persoonlijk financieel verslag
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Schedule A - Marketable Securities Description Market Value Description Market Value TOTAL CARRIED FORWARD TO ITEM 3, PAGE 2 Schedule B - Real Estate Owned Description and Location Title is Held in the Name of Date Acquired Percentage of your Ownership Purchase Price CARRIED FORWARD TO ITEM 4, PAGE 2 3 Current Value and Method of Determination TOTAL Schedule C - Business Interests Schedule D – Other Assets (Businesses not listed on a securities exchange or otherwise regularly traded) Description, Owned, Basis of Valuation Value Description and Basis of Valuation Value CARRIED FORWARD TO ITEM 5, PAGE 2 TOTAL Schedule E - Notes Payable to Banks Name of Creditor Security TOTAL CARRIED FORWARD TO ITEM 8, PAGE 2 Schedule F – Other Notes Payable Date Due Balance Name of Creditor Security Date Due Balance CARRIED FORWARD TO ITEM 9, PAGE 2 TOTAL CARRIED FORWARD TO ITEM 10, PAGE 2 Schedule G – Real Estate Mortgages Payable Name of Creditor Location of Date Due Property Schedule H - Other Debt and Liabilities Balance Description Amount CARRIED FORWARD TO ITEM 11, PAGE 2 TOTAL TOTAL CARRIED FORWARD TO ITEM 13, PAGE 2 4 TOTAL SECTION II PERSONAL INFORMATION Date of Birth Place of Birth Citizenship Residence Address Length of Residence in Community Marital Status Social Security Number Spouse s Name Trade names and/or other names used in place of given name List civic, professional, social, or other organizations in which you have membership Résumé of Education ACCOUNT RELATIONSHIPS List all bank, savings institution, or any other financial institution deposit or loan relationships you have had in the past five years..
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