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<br />I NAME:
<br />ADDR~SS;
<br />I LOCATION:
<br />
<br />03/17/97 09:44
<br />
<br />FINANCIAL 51 A 1EMEN1 '
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<br />S B#.e c.., h~~ s
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<br />I ASSETS
<br />CllhonH.nd .........",.,..,
<br />I S.vinlll Acc't. . . . . . . . . . . . . , , , , .
<br />Cash V.llIa 01 Ut. InlUrlnca ......
<br />lSee Sclwdule 11 "L,
<br /> Ace't. . Note& Receivable . . . . . . . .
<br />I lSee Schedule 21
<br />Livestock. . . . . . , , , , . . . , , . . . . . .
<br />lSee ScPledule 31
<br /> Firm Products for Sale. . . . . . . . . . .
<br />I ISee Schedule 41
<br />Feed on Hand
<br />l~~ s~~~~~ '41';" ..
<br />a-L I & llLmm1tr .'..J..?,. T .
<br /> . ISeI! 'lIldulfllil
<br />I TOTAl. CURRENT ASSETS. . . . . . . .
<br />PCA & FLB Slocll ............. .
<br />I Machinary I. Equipment . . . . . , , . , .
<br />IS.. Schedule 111
<br />hrm Land . . . . . . . . . . . . . . . . . . . ,
<br />ISte Schedule III
<br /> Non. Form Rul ESfale, . . . . . . . .. . .
<br />I lSee &Belion 71
<br />Othl:r Assels
<br />~ C',NIIt'~er.
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<br />APPliCANT COLUMN
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<br />P02
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<br />HOME PHONE: WORK PHONE:~ ~~ - ~5 7 J'
<br />SOCIA~"~ECURITVI3~ I/().~dt:.-'i. _" AGE:
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<br />BANK USE
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<br />TOTAl ASSETS. . . . . . . . . . . . . . .. 8
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<br />NET WORTH
<br />CHANGE
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<br />LIABILITIES
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<br />Ace',. PaYlbls . , . , . , , . . . . . . . . .
<br />ISee Schedule 81
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<br />Unsecured Notes. . . . ' . . . . . . . . .
<br />ISee Schedule 91
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<br />NotBB Secured by Chlttels ,.....
<br />(See SctledUlfl 91
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<br />LOins on Life InSUfence . . . . . . . . .
<br />(See Schedule 11
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<br />Real Eatate Tues Due,.........
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<br />Personel Taxes Due. . . , . . . . . . . .
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<br />Other Debl.
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<br />." Judllemenlt
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<br />TOT AI. CURRENT LIABILITIES . . .. 8
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<br />SL10CA. 7'J2b 5 r . .
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<br />Notee Secured by RJE , . . , , , . , . ,
<br />Sle Scheduie 'j 01
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<br />TOTAL UABlLITIES . . . . . , , , , , . .
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<br />NiT WORTH. .. .. .. .. .. . . .... 8
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<br />APPLICANT COlUMN
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<br />BANI( USE
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<br />PRIOR YEAR OATE-- 'PAIOR YEAR AMOUNT
<br />MO. DAY YR.
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<br />~""GE ,"00 "..,-, "J
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<br />II... Elute ......I_ion lOe..el~SlIOnI
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<br />CONTINGENT L1ABILITtE:S . ...,
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<br />RECONCILATION OF NET WORTH INCREASE lOR DECREASE)
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<br />Inllerir.nce P.id in Ceolul Gilt.
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<br />"'.nlll Unoc:cclmted For
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<br />Eerned ""W Ch"",,"
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<br />-$
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<br />I CONTINGENT ASSETS. -
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<br />, __ CURREN" AND INTERMEDIATE O/A IlATIO_
<br />tSGh. 121
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<br />TOTAl. O'A RATIO _,___ ...
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<br />I IMPORT ANT HOTlCE: The Bank la protected by federal end Itetelawl which make It e crlmlnll offenlHltO give e fal.e IIltemlnt for the purpose of Influenc.
<br />Int . declllon by the Bank or ua a.U or otherwlae dl.poII of collateral wl\h u'e Intent to defraud 11\. Bank.
<br />
<br />The atltements mllde in the Bal.nee Sheet Ite for the purpose of inducing the Bank to grant the credit requested. Everything that IIwe heve stated In
<br />I the Balance Sheet tlnd all supporting schedules la correct to the best of my/our knowledge. l!We understand that the Bank will retain this stetement whether
<br />or not credit is approved. The Bank may verify aU Information given in connection with this statement. check my/our credit history. emoloyment and income
<br />history. and a"awer Question. about tha Benk', credit experience with me/us.
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<br />DATE
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