Capítulo 6 - Part III: Documentos Financieros 97 _____________________________________________________________________________________________
Ejemplo (en inglés) de un Historial Financiero de un Negocio - página 2 INDIVIDUAL, PARTNERSHIP, OR CORPORATION – Page 2
SCHEDULE A
LIST OF REAL ESTATE AND IMPROVEMENTS WITH ENCUMBRANCES THEREON
Description, Street Number, Location
BOOK VALUE
Title in Names of
LAND
MORTGAGES OR LIENS
I MPROVEMENTS
MATURITY
Terms of Payment
AMOUNT
Holder of Lien
__________________________________________________$__________$_________________________$____________$_______________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ TOTALS SCHEDULE B
$
$
$
$
STOCKS & BONDS: Describe Fully. Use Supplemental Sheet if Necessary. Indicate if Stocks Are Common or Preferred. Give Interest Rate and Maturity of Bonds.
NAME AND ISSUE (DESCRIBE FULLY)
NO. OF SHARES
BOOK VALUE
AMT. OF BONDS
LISTED
MARKET VALUE
UNLISTED
PRICE
VALUE
__________________________________________________________________________$___________________$________________________________$____________ ____________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ TOTALS $ $ $ SCHEDULE C Age
Complete if Statement is for an Individual or Sole Proprietorship
Number of Years in Present Business
Date of Filing Fictitious Trade Style__________________________________________________________
What Property Listed in This Statement is in Joint Tenancy?
Name of Other Party_____________________________________________
What Property Listed in This Statement is Community Property?
Name of Other Party_____________________________________________
With What Other Businesses Are You Connected?
Have You Filed Homestead?_______________________________________
Do You Deal With or Carry Accounts With Stockbrokers? SCHEDULE D
Amount $
Name of Firm
Complete if Statement is of a Partnership
NAME OF PARTNERS (indicate special partners)
Age
Amount Contributed
Outside Net Worth
Other Business Connections
_________________________________________________________$_______________$__________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ Date of Organization Limited or General? Terminates_____________________________________________ If Operating Under Fictitious Trade Style, Give Date of Filing SCHEDULE E
Complete if Statement is of a Corporation AUTHORIZED
Common Stock _________ Preferred Stock _______ Bonds—Total Issue Date Incorporated
Par OUTSTANDING ISSUED FOR Value SHARES AMOUNT CASH $________________ $_______________ $_____________________________________________________ $________________ $_________ $_____________________________________________________ $__________________ $__________ $_____________________________________________________ Under Laws of State of
$_____________________ $____________________ $___________________
Shares Owned Officers
Age
COMMON
PREFERRED
Shares Owned Directors and Principal Stockholders
COMMON
PREFERRED
President____________________________________________________________________________Director_________________________________________________________________ Vice President________________________________________________________________________Director_________________________________________________________________ Secretary_________________________________________________________________ Director_________________________________________________________________ Treasurer SCHEDULE F
Complete in ALL Cases
INSURANCE
Are Your Books Audited by Outside Accountants?______________None___________________________________________ Merchandise______________$________________ Automobiles and Trucks: Date of To What Date Has the U.S. Internal Last Audit_______________________Revenue Department Examined Your Books?__________ Machinery & Fixtures______$________________ Public Liability $________M/$_______M Are You Borrowing From Any Other Branch of This Bank?______________Which?_________________________________________ Buildings________________$________________ Collision______________$____________ Are You Applying for Credit At Any Other Source?______________Where_________________________________________ Earthquake_______________$_______________ Property Damage________$___________ Have You Ever Failed If So, attach a Complete Explanation and Is Extended Coverage In Business?_____________________State Basis of Settlement With Creditors_______________ Endorsement Included?_____________________ Life Insurance___________$___________ Do You Carry Workmen’s Name of Lease Has_______________________Years to Run With Monthly Rental of $________________ Compensation Insurance?____________________ Beneficiary_________________________ STATEMENT OF BANK OFFICER: Insofar as our records reveal, this Financial Statement is accurate and true. The foregoing Statement is (a copy of) the original signed by the maker, in the credit files as of of this Bank.
The undersigned solemnly declares and certifies that the above statement (or in lieu thereof, the attached statement, as the case may be) and supporting schedules, both printed and written, give a full, true, and correct statement of the financial condition of the underSigned as of the date indicated. Signature_________________________________________________________________
______________________________________________Assistant Cashier-Manager
By______________________________________________________________________ (Title, If Corporation)