Form Ppa-Bus - Statement Of Financial Condition For Businesses Page 3

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Page 3
PPA-BUS
SECTION II - ASSETS (continued)
21. Securities (Stocks, Bonds, Mutual Funds, Government Securities, Money Market Funds, etc.)
Quantity or
Current
Type
Issuer
Denomination
Value
$
$
TOTAL (Enter also on Page 3, Item 24K)
22. Other Assets
Current or
Current or
Description
Type
Appraised Value
Appraised Value
$
TOTAL (Enter also on Page 3, Item 24K)
$
SECTION III - LIABILITIES
23. Liabilities
Total Amount
Total Amount
Description
Description
Owed
Owed
$
Past Due Federal Taxes
$
Notes Payable
Past Due State Taxes
Loans Payable
Vehicle Leases
Past Due Other Taxes
Other Liabilities:
Equipment Leases
Bank Revolving Credit
Judgments Payable
$
TOTAL (Enter also on Page 3, Item 25)
SECTION IV - NET WORTH CALCULATION
24. ASSETS
$
A. Cash On Hand
B. Bank Accounts
C. Bank Credit Available
D. Real Property
E. Vehicles
F. Accounts Receivable
G. Loans From Business to Proprietor, Partners, Officers, Shareholders or Others
H. Machinery and Equipment
I. Merchandise Inventory
J. Securities
K. Other Assets
$
Total Assets
$
25. LIABILITIES
$
26. Net Worth (“Total Assets” Minus “Liabilities”)

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