Balance Sheet Statement For: _______________________________ Type of Organization: ____________________________ Statement Date: _________________ Reset Form Submit Form ASSETS Current Assets Cash Bank Account _________________________ Bank Account _________________________ Bank Account _________________________ Marketable Securities (Stocks, Bonds, etc) Accounts Receivable Current Portion of Notes Receivable Life Insurance - Cash Value Harvested Crops (crop type, measure, total units, $/unit) ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ Growing Crops at cost (crop type, measure, total units, $/unit) ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ Livestock - Market (type, measure, total units, $/unit) ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ Prepaid Expense Supplies & Current Inventory Other _______________________________________ _______________________________________ Total Current Assets Non-Current Assets Livestock - Breeding (type, measure, total units, $/unit) ______________________ __________ ________ _________ ______________________ __________ ________ _________ ______________________ __________ ________ _________ Machinery/Equipment (attach list) Investments (IRA, 401k, etc) Notes Receivable - Non-Current Real Estate Owned (attach list if necessary) 1 ____________________________________________________ 2 ____________________________________________________ 3 ____________________________________________________ 4 ____________________________________________________ 5 ____________________________________________________ 6 ____________________________________________________ 7 ____________________________________________________ Total Non-Current Assets TOTAL ASSETS Amount $ $ 0 $ $ $ 0 0 Balance Sheet Second Page For: LIABILITIES Current Liabilities Notes / Accounts Payble Accrued Interest Current Portion Non-Current Portion Long-Term Portion Income Taxes Payable Real Estate Taxes Due & Payable Current Maturity Non-Current Term Debt Long Term Real Estate Debt Short Term (Operating/Contracts - Due within 12 mo.) Lender Security Int Rate ____________________ ___________ _____% ____________________ ___________ _____% ____________________ ___________ _____% ____________________ ___________ _____% ____________________ ___________ _____% Other _______________________________________ _______________________________________ _______________________________________ Total Current Liabilities Amount $ Payment $ $___________ $___________ $___________ $___________ $___________ Balance $ Non-Current Liabilities Chattel Liens / Contracts / Equipment (attach list if necessary) Lender Security Int Rate Payment $ ____________________ ___________ _____% $___________ ____________________ ___________ _____% $___________ ____________________ ___________ _____% $___________ ____________________ ___________ _____% $___________ ____________________ ___________ _____% $___________ Less: Current Port of Non-Current Liabilities Real Estate Mortgages (attach list if necessary) Lender Security Int Rate Payment $ 1 ____________________ ___________ _____% $___________ 2 ____________________ ___________ _____% $___________ 3 ____________________ ___________ _____% $___________ 4 ____________________ ___________ _____% $___________ 5 ____________________ ___________ _____% $___________ 6 ____________________ ___________ _____% $___________ 7 ____________________ ___________ _____% $___________ Less: Current Portion of Long Term Liabilities Total Non-Current Liabilities TOTAL LIABILITIES NET WORTH TOTAL LIABILITIES & NET WORTH NOTES: Reset Form Frequency Monthly __________ __________ __________ __________ __________ Submit Form Frequency Monthly __________ __________ __________ __________ __________ 0 Balance $ Frequency __________ Monthly __________ __________ __________ __________ __________ __________ Balance $ $ $ $ 0 0 0 0
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