Multi-Purpose Balance Sheet Page 4

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SCHEDULE G: OTHER CURRENT ASSETS (Employee Advances, Prepaids, Deposits, Cash Value of Life Insurance)
DESCRIPTION
ORIGINAL COST
MARKET VALUE
TOTAL
SCHEDULE H: OTHER LONG-TERM ASSETS
DESCRIPTION
ORIGINAL COST
MARKET VALUE
TOTAL
SCHEDULE I: PERSONAL RESIDENCE REAL ESTATE OWNED (LIST MORTGAGES IN SCHEDULE O)
TYPE OF PROPERTY
YEAR PURCHASED
TITLE IN NAME OF
ORIGINAL COST
MARKET VALUE
TOTAL
Page 4 of 8
PWF-104 Balance Sheet Revised 4/14/11

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