| VI. ASSETS AND
LIABILITIES |
| This statement and any applicable supporting
schedules may be completed jointly by both married and unmarried Co-
borrowers if their assets and liabilities are sufficiently joined so that
the statement can be meaningfully and fairly presented on a combined basis;
otherwise separate Statements and Schedules are required. If the Co-
Borrower section was completed about a spouse, this Statement and supporting
schedules must be completed about that spouse also. |
Completed  Jointly Not Jointly |
| ASSETS |
Cash or
Market
Value |
Liabilites and
Pledged Assets. List the creditor's name, address and account number
for all outstanding debts, including automobile loans, revolving charge
accounts, real estate loans, alimony, child support, stock pledges, etc.
Use continuation sheet, if necessary. Indicate by (*) those liabilities
which will be satisfied upon sale of real estate owned or upon refinancing
of the subject property. |
| Cash deposit toward purchase held by:
|
$ |
LIABILITES |
Monthly Pmt. &
Mos. Left to Pay |
Unpaid
Balance |
| List checking and savings accounts
below |
Name & Address of Bank, S&L, or Credit
Union
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Acct. no.
|
$ |
Acct. no.
|
Name & Address of Bank, S&L, or Credit
Union
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Acct. no.
|
$ |
Acct. no.
|
Name & Address of Bank, S&L, or Credit
Union
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Acct. no.
|
$ |
Acct. no.
|
Name & Address of Bank, S&L, or Credit
Union
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Acct. no.
|
$ |
Acct. no.
|
Stocks & Bonds(Co. name/
number & description)
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Acct. no.
|
$ |
Acct. no.
|
Life insurance net cash value
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Face amount $
|
Acct. no.
|
Subtotal Liquid Assets
|
Name & Address of Company |
$ Pmt/Mos. |
$ |
Acct. no
|
$ |
Acct. no.
|
| Real Estate owned enter market value from schedule or
real estate owned, (page 3.) |
$ |
Acct. no. |
Vested interest in retirement
fund
|
Name & Address of
Company |
$ Pmt../Mos. |
$ |
Net worth of Bus.(es) owned (attach financial
statement)
|
$ |
Acct. no. |
Automobiles owned (make and year)
|
$ |
Alimony/Child Support/Separate
Maintenance Payments |
$ |
Other Assets (itemize)
|
$ |
Job Related Expense (child care,
union dues, etc.) |
$ |
| Total Monthly Payments |
$ |
