Form Rp-420-A/b-Rnw-I - Renewal Application For Real Property Tax Exemption For Nonprofit Organizations I-Organization Purpose Page 2

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SCHEDULE A
2
RP-420-a/b-Rnw-I (1/95)
2b. Statement of assets and liabilities for the last fiscal year
Enter Dates
I. ASSETS
Beginning date
Ending date
(1) Cash (a) interest bearing accounts ...........................................................................................
(b) other ...................................................................................................................................
(2) Accounts receivable, net ..........................................................................................................
(3) Inventories ...............................................................................................................................
(4) Bonds and notes (attach schedule) ...........................................................................................
(5) Corporate stocks (attach schedule) ..........................................................................................
(6) Mortgage loans (attach schedule) ............................................................................................
(7) Other investments (attach schedule) ........................................................................................
(8) Depreciable and depleted assets (attach schedule) ..................................................................
(9) Land ........................................................................................................................................
(10) Other assets (attach schedule) ................................................................................................
(11) TOTAL ASSETS ..................................................................................................................
II. LIABILITIES
(12) Accounts payable ..................................................................................................................
(13) Contributions, gifts, grants, etc. payable ................................................................................
(14) Mortgages and notes payable (attach schedule) .....................................................................
(15) Other liabilities (attach schedule) ..........................................................................................
(16) TOTAL LIABILITIES ..........................................................................................................
III. FUND BALANCE OR NET WORTH
(17) Total fund balance or net worth .............................................................................................
(18) Total liabilities and fund balance or net worth (line 16 plus line 17) .....................................
(19) Has there been any substantial change in any aspect of the organization’s financial activities since the period ended as shown
above?
Yes
No
If yes, attach a detailed explanation.

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