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Financial Statement (Personal)

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PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT as of 17 January 2021 OF _________________________ of _________________________ (the "Applicant") FOR _________________________ of _________________________

BACKGROUND:

This Personal Financial Statement is being made for the purpose of: disclosing financial information to the party named above to obtain a loan.

Applicant's Personal Information
Name: _________________________
Address: _________________________
Phone: __________
Employer: _________________________
Position: _________________________
Number of years at position: _________________________

Section 1. Balance Sheet

Assets	Value	Liabilities	Value
Cash on hand	₹0.00	Unpaid Taxes	₹0.00
Cash in Bank	₹0.00	Loans Payable to Financial Institution	₹0.00
Debt Owed to Applicant	₹0.00	Other Loans	₹0.00
Retirement Accounts	₹0.00	Credit Cards	₹0.00
Motor Vehicles	₹0.00	Amount Owing on Motor Vehicle	₹0.00
Real Estate	₹0.00	Amount Owing on Real Estate	₹0.00
Investments	₹0.00	Other Liabilities	₹0.00
Cash Value Life Insurance	₹0.00
Other Assets	₹0.00
		Total Liabilities	₹0.00

		Net Worth Calculation:	Value

Total Assets	₹0.00	Net Worth	₹0.00

Section 2. Annual Income/Contingent Liabilities

Annual Income	Value	Contingent Liabilities	Value
Salary	₹0.00	Endorser/Guarantor	₹0.00
Commissions/Bonuses	₹0.00	Legal Claims	₹0.00
Real Estate Income	₹0.00	Other Contingent Liabilities	₹0.00
Investments	₹0.00
Other Income	₹0.00
Total	₹0.00	Total	₹0.00

The Applicant certifies that all the information provided in this statement is true and accurate as of 17 January 2021. The Applicant authorises _________________________ to make any inquiries that _________________________ feels is necessary to verify the information in this financial statement.

_______________________________
_________________________

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