Business Loan Application Package Page 8
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30Accounts Receivable/Payable Aging Summary
(Please complete this form with information that matches the most current balance sheet
being submitted as a part of this application.)
AGING
ACCOUNT RECIEVABLE
ACCOUNT PAYABLE
UNDER 30 DAYS
30 – 59 DAYS
60 – 89 DAYS
90 – 119 DAYS
120 – 180 DAYS
OTHER
TOTAL
(Totals should agree with current financial statement)
Any receivable greater than 10% of total: __________________________________________________________________________
Any payable greater than 10% of total: ____________________________________________________________________________
LISTING OF LARGE ACCOUNTS OVER $10,000
AMOUNT
1.
___________________________________________________ $ ____________________________________________
2.
___________________________________________________ $ ____________________________________________
3.
___________________________________________________ $ ____________________________________________
4.
___________________________________________________ $ ____________________________________________
5.
___________________________________________________ $ ____________________________________________
6.
___________________________________________________ $ ____________________________________________
7.
___________________________________________________ $ ____________________________________________
8.
___________________________________________________ $ ____________________________________________
9.
___________________________________________________ $ ____________________________________________
10.
___________________________________________________ $ ____________________________________________
TRADE REFERANCES
NAME ______________________________________________ NAME ________________________________________________
COMPANY __________________________________________ COMPANY ____________________________________________
ADDRESS ___________________________________________ ADDRESS ____________________________________________
CITY, STATE, ZIP ____________________________________ CITY, STATE, ZIP ______________________________________
TELEPHONE ________________________________________ TELEPHONE __________________________________________
FAX ________________________________________________ FAX _________________________________________________
___________________________________________________________________________________________________________
Signature
Title
Date
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