Sheet 1: Document Checklist

	
	
	
	
	
	
	
	
	

		


		


		


		


		


		


		


		
BROWNFIELDS REVOLVING LOAN FUND PROGRAM PROGRAM
		


		


		


	
	

		


		


		


		


		


		


		


		

 
		
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		
LOAN APPLICATION
		


		


		


	
	

		


		


		


		


		


		


		


		
REQUIRED DOCUMENTATION CHECKLIST
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		
 
		
OWNER (PERSONAL) FINANCIAL INFORMATION:  Submit current copies of the following for each officer or owner who                                                               
		


		


		


		


		


		


		


		


		


	
	

		


		
holds/controls 20% or more of the company.
		


		


		


		


		


		


		


		


		


	
	

		


		


		
Credit Reports
		


		


		


		


		


		


		


		


	
	

		


		


		
Tax Returns (last 3 years)
		


		


		


		


		


		


		


		


	
	

		


		


		
Resumes
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
BUSINESS FINANCIAL INFORMATION:1  Submit documents for the last 3 years.
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Business Financial Statements
		


		


		


		


		
Business Debt Schedule
		


		


		


	
	

		


		


		
Tax Returns
		


		


		


		


		


		


		


		


	
	

		


		


		
Credit Reports - if none, see personal
		


		


		


		


		


		


		


		


	
	

		


		
 
		
P & L Statements
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
BUSINESS DOCUMENTS:  Submit the following items if applicable.
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Articles of Incorporation
		


		


		


		


		
Business Licenses
		


		


		


	
	

		


		


		
Partnership Agreements
		


		


		


		


		
Fictitious Business Name Statement
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		
 
		
BUSINESS PLAN:  Discuss the following areas.
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Existing Business
		


		


		


		


		
Customers
		


		


		


	
	

		


		


		
Proposed Business
		


		


		


		
 
		
Major past accomplishments
		


		


		


	
	

		


		


		
How will this loan benefit your company?
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
OTHER
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Appraisal of secured collateral 
		


		


		


		


		


		


		


		


	
	

		
1Last three (3) years for applicant(s), guarantor(s), and affiliated entities. Must include a balance sheet, income statement, cash flow 
		


		


		


		


		


		


		


		


		


		


	
	

		
statement, and aging of accounts receivable and accounts payable.
		


		


		


		


		


		


		


		


		


		


	
	

		
By signing this loan application, you authorize Lender to make all inquiries deemed necessary to verify 
		


		


		


		


		


		


		


		


		


		


	
	

		
the accuracy of the statements made herein and to determine my/our creditworthiness.  I/We certify the 
		


		


		


		


		


		


		


		


		


		


	
	

		
above and the statements contained in the schedules herein are a true and accurate statement of my/our
		


		


		


		


		


		


		


		


		


		


	
	

		
 financial condition as of the date stated herein.
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		
Signature 
		


		


		


		


		


		


		
Signature
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		
Date
		


		


		


		


		


		


		
Date
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		
NOTICE
		


		


		


		


	
	

		
The Federal Equal Credit Opportunity act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national 
		


		


		


		


		


		


		


		


		


		


	
	

		
origin, sex, marital status, age, provided the applicant has the capacity to enter in to a binding contract); because all or part of the applicant’s income 
		


		


		


		


		


		


		


		


		


		


	
	

		
derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act.
		


		


		


		


		


		


		


		


		


		


	

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 




Sheet 2: Business Information

	
	
	
	
	
	
	
	
	
	
	
	
	

		


		


		


		


		
BROWNFIELDS RLF  LOAN APPLICATION
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		
BUSINESS INFORMATION
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Business Name: 
		


		


		


		


		


		
Tax ID Number:
		


		


		


		


		


		


	
	

		
Date Established:
		


		


		


		


		


		
Type of Entity:
		


		


		
Individual
		


		


		


	
	

		
Type of Business:
		


		


		


		


		


		


		


		

 
		
		


		


		


	
	

		
Contact:
		


		


		


		


		


		


		


		


		
Corporation
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                  Mailing Address
		


		


		


		


		


		
Physical Address
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
City
		


		


		
State
		
ZIP
		


		
City
		


		
State
		
ZIP
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Telephone:
		


		


		


		


		


		
Cellular:
		


		


		


		


		


		


	
	

		
FAX:
		


		


		


		


		


		
Email:
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                      Ownership
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Name
		


		


		
Title
		


		


		
%
		
SSN#
		


		
Notes
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		
0%
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                            Business Service & Advisors
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Title
		


		


		
Name
		


		


		
Address
		


		


		
Telephone / FAX
		


		


		


	
	

		
Bank / Financial Institution
		


		


		


		


		


		


		


		


		
 
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Accountant / Bookkeeper
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Attorney
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Financial Advisor
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Insurance Broker
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Other
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		
Employment Positions BEFORE Brownfields RLF Loan
		


		


		


		


		


		


		


		


		


	
	

		
 Name
		


		


		
Position
		


		


		
# of Hours per Week
		
Date of Hire
		


		
Monthly Salary
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Total
		


		


		


		


		


		


		


		


		
 $-   
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                                             Employment Positions Created or Retained by Brownfields RLF Loan
		


		


		


		


		


		


		


		


		


		
   
		


		


	
	

		
      Position
		


		


		
  Job Type
		


		


		
# of Hours per Week
		
 Health Insurance Provided? (Yes/No)
		


		
Monthly Salary
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		
 
	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Total
		


		


		


		


		


		


		


		


		
 $- 
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                                             BRIEF DESCRIPTION OF BROWNFIELDS CLEANUP PROJECT
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	

 
 




Sheet 3: Business Financial Detail

	
	
	
	
	
	
	
	
	
	

		
                                                                                                                          BUSINESS FINANCIAL DETAIL
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
 for
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                                                     (Attach additional sheets or insert additional lines if necessary.)
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                              Cash:  Checking, Savings, CDs, & Money Market Accounts
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		


		
Current Balance
		
Monthly Income
		
Date
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		


		


		
 $-   
		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                      Short-Term Investments
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		
Current Balance
		
Monthly Income
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		
 
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		


		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                           Accounts Receivable
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		
1-30 Days
		
30-60 Days
		
61-90 Days
		
>90 Days
		
Total
		
Date
		


		


		


		


		


		


	
	

		
Total
		


		


		


		


		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                        Inventories
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		
 
		
Current Balance
		
Balance Due
		
Monthly Payment
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		
 
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                   Prepaid Expenses, Taxes, & Other Short-Term Assets
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		


		
Current Balance
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Total
		


		


		
 
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                             Property, Plant, & Equipment
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		
Address
		
Market Value
		
Mortgage Balance
		
Monthly Payment
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		
 
		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                                       Automobiles & Other Vehicles
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Vehicle Description
		


		
Market Value
		
Loan Balance
		
Monthly Payment
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		
 
		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                                       Securities:  Stocks, Bonds, Notes Receivable, & Mutual Funds
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		
Current Balance
		
Monthly Income
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		
 
		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		
 
		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                          Annuities & Life Insurance Cash Values
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Insurance Company
		
Beneficiary
		
Surrender Value
		
Monthly Income
		
Death Benefit
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		
   
		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                       Other Long-Term Assets
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		
Market Value
		
Monthly Income
		
Loan Balance
		
Monthly Payment
		
Date
		

		Indicate whether this asset will be pledged as an asset for the program loan.

		Collateral? Yes/No
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		
 $-   
		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                               Credit Cards & Lines of Credit
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		
Account Number      (Last 4 digits)
		
Loan Balance
		
Credit Limit
		
Monthly Payment
		
Date
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		


		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                                Accounts Payable & Other Short-Term Liabilities
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		
Loan Balance
		
Beginning Balance
		
Monthly Payment
		
Date
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		


		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                                    Notes Payable
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		
Loan Balance
		
Beginning Balance
		
Monthly Payment
		
Date
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		


		
 $-   
		
 $-   
		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
                                                                                                        Other Long-Term Debt
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Description
		


		


		
Loan Balance
		
Beginning Balance
		
Monthly Payment
		
Date
		


		


		


		


		


		


	
	

		
 
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Totals
		


		


		
 $-   
		
 $-   
		
 $-