SCHEDULE A - (To be filled in if application is for more than 

 $10,000 or if applicant is a partnership or corporation) 



18. Balance sheet ftatemeat of 



]9 



_, flical year endi__ 



_, 19_ 



(Statement must be dated wltfaln 60 days of the filing of this application. Omit centi.) 



(The applicant may fubmlt In lieu of the balance iheel ftatement prescribed below a copy of a statement dated within 90 days of the 

 filing of this application provided he alao supplies the supplcmentaiy detail called for on items marked with an ajterisk.) 



ASSETS 



CaA on Hfl "H ftnrf In banks •...$ 



♦Notes receivable - 



♦Accoimts le ce 1 vable .......•..................$_ 



Less reierve for doubtful accounts 



Inventories (indicate kind and how valued): 



* 



$ 



S 



* Other cuirent assets __ 



Total current asets Ji_ 



* Due from affiliates or subsidiaries 



* Due fiom officen, directoa, and stockholders. . . 



Life insurance (CSV) 



Land , . . 



Buildings $ 



Vessels and gear % 



Machlneiy and equipmoU. . . . 



Furniture and fixtures ^ ^ 



Autos and trucks _ ^ 



Less reserve for depreciation. . 



* Other assett, •••••■■•■■>■■■■■■■■■■■<•>«•*■• 



LIABIUTIES 



♦Note* payable to vendots Ji 



*Notei payable to banlcs 



♦Notes to officejs, directoa, and stockfaoldea 



•Notes to others 



♦Accounts payable to veodos 



Income taxes 



Other accruals 



♦Other cmrent liabilities 



Total current liabilities $_ 



♦Mortgage debts 



♦Other liabilities __ 



Total liabilities $__ 



Capital stock , $_ 



Surplus and undivided profits 



Capital account (If individual or partnership) 



Total liabilities and net worth $ 



¥ Itemize on a separate sheet all items marked with an asterisk. If any of the liabilities shown In the above balance ^eet statement are 

 secured, state ^e amount and to whom owed and itemiie the coUateraJ. pledged as security. (See instructions) 



CONTINGENT LIABILITTES: Accounts or notes receivable discounted or sold with endoisement or guarantee and all other contingent 



liabilities, including terms of any leases, diould be explained on a separate &eet. Alao describe any pending litigation, 

 NOTE — Submit a copy of last available audit or of balance sheet statement at close of last fif^a' year (if sich date differs from 

 date of above statement). 



11 



