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{"sheet":"Balance Sheet","index":0,"n_rows":74,"n_cols":11,"rows_kept":74,"cut":false,"hidden":false,"merged":[[44,6,44,9],[45,6,45,9],[28,6,28,9],[29,6,29,9],[30,6,30,9],[31,6,31,9],[32,6,32,9],[33,6,33,9],[1,0,1,10],[34,0,34,3],[46,0,46,3],[34,6,34,9],[46,6,46,9],[6,1,6,4],[6,7,6,10],[8,1,8,2],[5,0,6,0],[5,6,6,6],[58,8,58,9],[51,0,51,4],[21,0,21,10],[51,6,51,10],[14,1,14,2],[14,7,14,8],[39,0,39,3],[40,0,40,3],[41,0,41,3],[42,0,42,3],[2,0,2,10],[3,0,4,0],[12,1,12,4],[12,7,12,10],[47,6,47,9],[48,6,48,9],[40,6,40,9],[41,6,41,9],[42,6,42,9],[43,6,43,9],[32,0,32,3],[33,0,33,3],[8,7,8,8],[10,1,10,4],[10,7,10,10],[11,1,11,4],[11,7,11,10],[71,0,71,10],[70,0,70,10],[16,1,16,2],[16,7,16,8],[62,6,62,9],[62,0,62,2],[49,0,49,3],[49,6,49,9],[18,0,20,10],[31,0,31,3]],"flags":["formulas_cached_only"]}
[]
[" FINANCIAL STATEMENT"]
["CONFIDENTIAL"]
["TYPE OF CREDIT","           Individual","- provide Financial information only about yourself"]
[null,"           Joint","- provide Financial information about yourself and the other person",{"$nulls":6},"Date"]
["Applicant/\nBusiness",{"$nulls":5},"Co-Applicant/\nContact"]
[]
[]
["Soc. Sec./EIN",null,null,"Birthdate",null,null,"Soc. Sec.",null,null,"Birthdate"]
[]
["D.L. #",{"$nulls":5},"D.L. #"]
["Address:",{"$nulls":5},"Address:"]
[]
[]
["Phone (H)",null,null,"Phone (C )",null,null,"Phone (H)",null,null,"Phone (C )"]
[]
["Phone (W)",{"$nulls":5},"Phone (W)"," "]
[]
["For the purpose of procuring and maintaining from time to time in any form whatsoever with the above named Bank, for claims and demands against the undersigned, the undersigned submits the following as being a true and acuurate statement of their financial condition on the following date, and agrees that if any change occurs that materially reduces the means or ability of the undersigned to pay all claims or demands against them the undersigned will immediately and without delay notify the said Bank, and unless the Bank is so notified it may continue to rely upon the statement herein given as a true and accurate statement of the financial condition of the undersigned as of this date."]
[]
[]
["REFER TO THE TABS AT THE BOTTOM OF THE PAGE FOR \"SCHEDULE\" ENTRIES"]
["ASSETS",{"$nulls":5},"LIABILITIES"]
["Cash Accounts",null," ","Sch A",0,null,"Notes Due to Others/Relatives"]
["Other Investment Accounts",{"$nulls":5},"Unpaid Income or Real Estate Taxes"]
["Cash Value of Life Insurance",{"$nulls":5},"Loans on Life Insurance Policy"]
["Account Receivables (attach documentation)",{"$nulls":5},"Credit Cards",null,null,"Sch H",0]
["Livestock Held for Resale",null,null,"Sch B",0,null,"Other Current Liabilities (list)",null,null,null," "]
["Breeding Livestock",null,null,"Sch C",0,null,"  -",null,null,null," "]
["Inventory",null,null,"Sch D",0,null,"  -",null,null,null," "]
["Other Current Assets (list)",{"$nulls":5},"  -",null,null,null," "]
["  -",{"$nulls":5},"  -"]
["  -",{"$nulls":5},"  -"]
["  -",{"$nulls":5},"  -",null,null,null," "]
["Subtotal Current Assets",null,null,null,0,null,"Subtotal Current Liabilities",null,null,null,0]
["Machinery, Equipment & Vehicles",null,null,"Sch E",0,null,"Machinery, Equipment & Vehicles Loans Due",null,null,"See Sch E",0]
["Personal Property",null,null,"Sch F",0,null,"Personal Property ",null,null,"See Sch F",0]
["Real Estate & Land",null,null,"Sch G",0,null,"Real Estate & Land Notes Due",null,null,"See Sch G",0]
["Retirement Accounts (list)",{"$nulls":5},"Student Loans",null," ",null," "]
["  -",{"$nulls":5},"Other Long-term Liabilities (list)",null," ",null," "]
["  -",{"$nulls":5},"  -"]
["  -",{"$nulls":5},"  -"]
["  -",{"$nulls":5},"  -"]
["Other Long-term Assets (list)",{"$nulls":5},"  -"]
["  -",{"$nulls":5},"  -",null,null,null," "]
["  -"," ",null,null," ",null,"  -",null,null,null," "]
["Subtotal ",null,null,null,0,null,"Subtotal",null,null,null,0]
[{"$nulls":6},"Total Liabilities   ",null,null,null,0]
[{"$nulls":6},"Net Worth",null,null,null,0]
["Total Assets",null,null,null,0,null,"Total Liabilities and Net Worth",null,null,null,0]
[]
[{"$nulls":6},"PERSONAL INFORMATION"]
["Salary-Borrower/Applicant",null,null,null,0,null,"Business or Occupation",null," "]
["Salary-Co-Borrower/Co-Applicant",null,null,null,0]
["Bonus, Dividends, Comm., Draws",{"$nulls":5},"Partner or Officer in Any Other Venture"]
["Other income-",null,null,null,0]
["Other income-",null,null,null,0]
["Alimony, Child Support and Maint. Pmts need not be",null,null,null," ",null,"The following need not be disclosed if individual unsecured credit is desired:"]
["revealed if you do not wish to rely upon it for payment)",{"$nulls":5},"Married:",null,"Number of Dependents:",null," "]
["TOTAL","          Annual Income    ",null,null,0,null,"Unmarried:"]
["(Check one)","          Monthly Income",null,null," ",null,"Separated:"]
[]
["CONTINGENT LIABILITIES",null,null,null,"(Dollars)",null,"GENERAL INFORMATION",null,null,null,"YES               NO"]
["As Endorser, co-maker or guarantor",{"$nulls":5},"Are you or co-borrower a defendant in any suits/legal actions?",null,null,null," "]
["On Leases or Contracts",{"$nulls":5},"Bank Accounts Carried at:",null,null,null,"FSB;"]
["Legal Claims",{"$nulls":5},"Account Numbers:"]
["Federal Income Taxes",{"$nulls":5},"Are you obligated to make Alimony, Support",null,null,null," "]
["Other Special Debt",{"$nulls":5},"or Maintenance payments? (yes/no)",null,null,null," "]
[{"$nulls":6},"Have you declared bankruptcy in the last 10 years?",null,null,null," "]
[]
["THE UNDERSIGNED CERTIFIES THAT BOTH SIDES HEREOF AND THE INFORMATION INSERTED THEREIN HAS BEEN CAREFULLY READ AND IS TRUE AND CORRECT.U.S.C., TITLE 18 SEC. 1014, PROVIDES THAT: \"WHOEVER KNOWINGLY MAKES ANY FALSE STATEMENT OR REPORT, OR WILLFULLY OVER VALUES ANY LAND, PROPERTY, OR SECURITY, FOR THE PURPOSE OF INFLUENCING… THE ACTION OF…(THIS) BANK SHALL BE FINED NOT MORE THAN $5,000 OR IMPRISONED NOT MORE THAN 2 YEARS, OR BOTH."]
["The Creditor this Financial Statement is offered to is hereby authorized to obtain reports to determine the ongoing creditworthiness of the undersigned, make all inquiries they deem necessary, & to verify the accuracy of the statements made herein, and is authorized to report on their credit experience  with the undersigned."]
[]
[null,"Borrower/Applicant",null,null,"Date",null,null,"Co-Borrower/Joint Applicant",null,null,"Date"]

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["SCHEDULES"]
["CONFIDENTIAL"]
[]
["SCHEDULE A - CASH ACCOUNTS"]
["ACCOUNT CATEGORY",null,null,null,"NAME OF INSTITUTION",null,null,"CURRENT BALANCE",null,null,"              IN NAME(S) OF:",null,null,"SUBJECT TO DEBT?"]
["Checking Account(s)"]
[]
[]
["Savings Account(s)"]
[]
[]
["Certificates of Deposit(s)"]
[]
[]
["Marketable Securities ",{"$nulls":9}," "]
[{"$nulls":10}," "]
[]
[]
[]
[]
[{"$nulls":8},0]
[]
["SCHEDULE B - LIVESTOCK HELD FOR RESALE"]
["BREED",{"$nulls":7},"# HEAD",null,"WEIGHT/HEAD","PRICE/UNIT","CALC BASIS",null,"VALUE"]
{"$rows_empty":10}
[{"$nulls":14},0]
[]
[]
[]
["SCHEDULE C - BREEDING LIVESTOCK"]
["BREED",{"$nulls":7},"# HEAD",null,"WEIGHT/HEAD","PRICE/UNIT","CALC BASIS",null,"VALUE"]
{"$rows_empty":10}
[{"$nulls":14},0]
[]
["SCHEDULE D - INVENTORY (CROPS, GOODS)"]
["INVENTORY DESCRIPTION",{"$nulls":7},"MEASURE\nEx: Ton/Bales",null,"# UNITS","PER UNIT","CALC BASIS",null,"VALUE"]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]

{"sheet":"Sch E","index":2,"n_rows":46,"n_cols":11,"rows_kept":46,"cut":false,"hidden":false,"merged":[[1,0,1,10],[3,0,3,10],[5,0,5,2],[6,0,6,2],[7,0,7,2],[8,0,8,2],[9,0,9,2],[10,0,10,2],[11,0,11,2],[12,0,12,2],[13,0,13,2],[14,0,14,2],[15,0,15,2],[16,0,16,2],[17,0,17,2],[18,0,18,2],[19,0,19,2],[20,0,20,2],[21,0,21,2],[22,0,22,2],[23,0,23,2],[24,0,24,2],[25,0,25,2],[26,0,26,2],[27,0,27,2],[28,0,28,2],[29,0,29,2],[30,0,30,2],[31,0,31,2],[32,0,32,2],[33,0,33,2],[34,0,34,2],[35,0,35,2],[36,0,36,2],[37,0,37,2],[38,0,38,2],[39,0,39,2],[40,0,40,2],[41,0,41,2],[42,0,42,2],[43,0,43,2],[44,0,44,2]],"flags":["formulas_cached_only"]}
[]
["CONFIDENTIAL"]
[]
["SCHEDULE E - MACHINERY, EQUIPMENT & VEHICLES"]
["ITEM DESCRIPTION",null,null,"QTY","CONDITION","YEAR","VALUE","OWN. %","VALUE %","BALANCE DUE","NAME OF LIENHOLDER/BANK"]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
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[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]
[{"$nulls":8},0,0]

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[]
["CONFIDENTIAL"]
[]
["SCHEDULE F - PERSONAL PROPERTY (HOUSEHOLD, FIXTURES)"]
["DESCRIPTION",null,null,null,"CONDITION","YEAR","VALUE",null,null,"CURRENT LOAN BALANCE","NAME OF LIENHOLDER/BANK"]
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[{"$nulls":6},0,null,null,0]
[{"$nulls":6},0,null,null,0]
[{"$nulls":6},0,null,null,0]
[{"$nulls":6},0,null,null,0]
[]
["SCHEDULE G - REAL ESTATE & LAND"]
["REAL ESTATE DESCRIPTION",null,null,"ACQUIRED","# ACRES","$/ACRE","VALUE","OWN. %","VALUE %","BALANCE DUE","NAME OF LIENHOLDER/BANK"]
[{"$nulls":6},0,null,0,0]
[{"$nulls":6},0,null,0,0]
[{"$nulls":6},0,null,0,0]
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[{"$nulls":6},0,null,0,0]
[{"$nulls":6},0,null,0,0]
[{"$nulls":6},0,null,0,0]
[{"$nulls":8},0,0]
[]
[]
["SCHEDULE H - CREDIT CARDS"]
["CREDIT CARD COMPANY",null,null,null,"ACCOUNT TYPE",null,"BALANCE DUE"]
[{"$nulls":6},0]
[{"$nulls":6},0]
[{"$nulls":6},0]
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