Agriculture Financial Statement Template (Fillable)
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4A
F
S
GRICULTURE
INANCIAL
TATEMENT
APPLICANT
CO-APPLICANT
Full Name
Full Name
Street Address
Street Address
City/State/Zip
City/State/Zip
County
County
Since
Since
Own
Rent
Own
Rent
Social Security #
Date of Birth
Social Security #
Date of Birth
Phone: Residence/Cell
Work
Phone: Residence/Cell
Work
Dependents (include self)
Dependents (include self)
ASSETS
LIABILITIES
1.
Cash (A)
13. Notes Payable (N)
2.
Notes & Accounts Receivables (B)
14. Accounts Payable (O)
3.
Livestock (C)
15. Other Liabilities (P)
4.
Crops (D)
16. Owed on Stocks & Bonds (E)
5.
Stocks & Bonds (E)
17. Owed on Life Insurance (F)
18. Owed on Vehicles (G)
6.
Life Insurance Cash Value (F)
7.
Auto & Truck (G)
19. Owed on Equipment (H)
20. Owed on Farm Land (I)
8.
Machinery & Equipment (H)
21. Owed on Improvements (J)
9.
Farm Land Owned (I)
22. Owed on Non-Farm Real Estate (K)
10. Improvements Owned (J)
23.
11. Non-Farm Real Estate (K)
Total Liabilities
12. Miscellaneous (M)
Total Assets
Net Worth
(Total Assets Less Total Liabilities)
A.
CASH, SAVINGS, & CERTIFICATES
Name of Bank or Financial Institution
Type of Account
Acct. Balance
A
S
S
E
T
Transfer to Line 1
B.
NOTES DUE ME & ACCOUNTS RECIEVEABLE
Secured or Unsecured
When Due
Current Balance
From Whom
A
S
S
E
T
Transfer to Line 2
CONFIDENTIAL
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Parent category: Financial