Form M-433-Ois - Statement Of Financial Condition And Other Information Page 5
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18. List all business assets and encumbrances, including Uniform Commercial Code (UCC) filings. Tools used in trade or business include the basic tools
or books used to conduct your business, excluding motor vehicles. Use additional pages if necessary.
a. Tools used in trade or business
Current value
Loan balance
Lender
Monthly payment
Date of final payment
b. Machinery
Current value
Loan balance
Lender
Monthly payment
Date of final payment
c. Equipment
Current value
Loan balance
Lender
Monthly payment
Date of final payment
d. Merchandise or inventory
Current value
Loan balance
Lender
Monthly payment
Date of final payment
e. Other
Current value
Loan balance
Lender
Monthly payment
Date of final payment
f. Other
Current value
Loan balance
Lender
Monthly payment
Date of final payment
19. Enter your total of all accounts receivable, and then list your three largest accounts receivable, including contracts awarded but not started.
Total of all accounts receivable
a. Name of account
Amount due
Due date
Business street address (not PO box)
City/Town
State
Zip
Age of account (in days)
0–30
31–60
61–90
91+
b. Name of account
Amount due
Due date
Business street address (not PO box)
City/Town
State
Zip
Age of account (in days)
0–30
31–60
61–90
91+
c. Name of account
Amount due
Due date
Business street address (not PO box)
City/Town
State
Zip
Age of account (in days)
0–30
31–60
61–90
91+
20. Enter your total of all notes receivable, and then list your three largest notes receivable, including contracts awarded but not started.
Total of all notes receivable
a. Name of account
Amount due
Due date
Business street address (not PO box)
City/Town
State
Zip
Age of account (in days)
0–30
31–60
61–90
91+
b. Name of account
Amount due
Due date
Business street address (not PO box)
City/Town
State
Zip
Age of account (in days)
0–30
31–60
61–90
91+
c. Name of account
Amount due
Due date
Business street address (not PO box)
City/Town
State
Zip
Age of account (in days)
0–30
31–60
61–90
91+
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Parent category: Financial