Form Ftb 3861a C1 - Bank And Corporation - Statement Of Financial Condition And Other Information Page 4

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8.
Merchandise inventory
Amount of
Description
Cost
Fair Market
Liquidation
Indebtedness
Date Pledged
Value
Value
if Pledged
a. Raw material
$
$
$
$
b. Work in progress
c. Finished goods
d. Supplies
e. Other (Specify)
f. Total
$
$
$
$
9.
Real estate
Unpaid
Description
Cost
Fair Market
Balance Due
Date Mortgage
Interest and
Value
on Mortgage
Recorded
Taxes
a.
$
$
$
$
b.
c.
d.
e.
f.
g.
h.
i. Total
$
$
$
$
10.
Furniture and fixtures — Machinery and equipment
Amount of
Description
Cost*
Liquidation
Indebtedness
Date
Value
if Pledged
Pledged
a. Furniture and fixtures (Business)
$
$
$
b. Machinery (specify kind)
c.
d.
e.
f. Equipment (Except trucks and automobiles.) (Specify)
g.
h.
i.
j. Total
$
$
$
11.
Trucks and automobiles
a. Trucks
$
$
$
b.
c.
d.
e.
f.
g. Automobiles
h.
i.
j.
k.
l.
m. Total
$
$
$
(*Less depreciation, if any.)
FTB 3861A C1 (REV 11-94) PAGE 4
PAGE 10

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