Form Cm-2b - Hawaii Statement Of Financial Condition And Other Information Page 4

ADVERTISEMENT

Section IV.
Income and Expense Analysis
Income for the period ______________ to ______________
Expenses for the period ______________ to ______________
36. Gross receipts from sales
42. Materials purchased
37. Gross rental income
43. Net wages and salaries
38. Interest
44. Rent
39. Dividends
45. Supplies
40. Other income (please specify)
46. Utilities / Telephone
47. Gasoline / Oil
48. Repairs and maintenance
49. Insurance
50. Taxes
51. Other (please specify)
41. Total Income
52. Total Expenses
53. Net difference
Under penalties of perjury, I (we) declare that to the best of my (our) knowledge and belief this statement of assets,
liabilities, and other information is true, correct, and complete.
54. Your signature
87. Date
Additional information or comments:
Form CM-2B
Page 4

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 4