10. Comparative statements of profit or loss: 



19 



19 



19 



19 



to date 



If a Corporation, Use This Block : 



Net sales (gross sales less returns 

 allowances ) 



Net profit (after depreciation and taxes) 



Depreciation 



and 



Income taxes 



Compensation of oflicers (included in ex- 



penses) . 



Dividends paid . 



If a Partnership or Proprietorship, Use 

 This Block: 



Net sales (gross sales less returns and 

 allowances) 



Net profit (after depreciation and viith- 



drawals) 



Depreciation 



Withdrawals (for income tcuses) . . 

 Withdrawals (for other purposes) . 



11. Give names and experience of key personnel, with length of service or similar information, who manage and operate vessel 



or gear for which the loan is proposed. (Use separate sheet.) 



12. Is vessel or gear now in operation? If not, explain why. 



13. Proposed method for repayment of loan. (State sources of funds and proposed schedule of repayment on separate sheet.) 



14. Are there now, or have there been in the past, any legal proceedings brought against you or your corporation relating to 



your business? - If so, state nature and present status on separate sheet. 



15. Have you been involved in any bankruptcy proceedings at any time, or made an assignment for benefit of creditors, etc.? 



Give full details and other pertinent information relating to these matters. (Use separate sheet.) 



16. Names of Attorneys, Accountants, and OTHEat Parties. The names of all attorneys, accountants, appraisers, agents, and 



all other parties (whether individuals, partnerships, associations, or corporations) engaged by or on behalf of the applicant 

 (whether on a salary, retainer, or fee basis and regardless of the amount of compensation) for the purpose of rendenng 

 professional or other services of any nature whatever to applicant, in connection with the preparation or presentation of 

 this application or with any loan to applicant which the Department of the Interior may make, or in which the Department 

 of the Interior may participate, as a result of this application, or such loan or participation; and all fees or other charges 

 or compensation paid or to be paid therefor or for any purpose in connection with this application whether in money or 

 other property of any kind whatever, by or for the account of the applicant, together with a description of such services 

 rendered or to be rendered, are as follows : 



NAME and address 



description of services 



rendered and to be 



rendered 



•TOTAL COMPENSA- 

 TION AGREED TO 

 BE PAID 



COMPENSATION 

 ALREADY PAID 



APPLICANT SHOULD IMMEDLATELY NOTIf-Y THE DEPARTMENT OF THE INTBKIOR OF ANY 

 CHANGE IN OR ADDITION TO THE INFORMATION SET FORTH ABOVE 



'Subject to the Department of the Interior approval. 



