stocks & bonds (traded), and contingent liabilities ... · due from original amount balance...
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STOCKS & BONDS (TRADED), AND RETIREMENT ACCOUNTS (Schedule C)
(Schedule G)
Winfield, KS 67156 This form licensed to: The Bank of Beaver City; Beaver, OK • For website use only.
CONTINGENT LIABILITIES (Schedule B)
INCOME INFORMATION FOR D CO-APPLICANT INCOME THE YEAR ENDING---------------
Alimony, child support, or separate maintenance income need not be revealed SALARIES
if you do not wish to have it considered as a basis for repaying this debt.
OTHER (DESCRIBE)
COMMISSIONS
DIVIDENDS TOTAL ALL INCOME
ANY ADDITIONAL ASSESSMENTS? 1 IF YES, AMOUNTTAX RETURN HAS BEEN FILED THROUGH (DATE) I
DYES D NO I
AMOUNT OF INCOME TAXES PAID LAST YEAR
SCHEDULE A. NOTES DUE ME
DUE FROM ORIGINAL AMOUNT BALANCE OWING PAYMENTS MATURITY COLLATERAL
TOTAL
SCHEDULE B. CONTINGENT LIABILITIES
DUE TO BALANCE OWING PAYMENTS MATURITY COLLATERAL
ENDORSER OR
COSIGNER?
GUARANTOR
LEASES OR
CONTRACTS
LEGAL CLAIMS OR
JUDGEMENTS
OTHER (DESCRIBE)*
• ALIMONY, CHILD SUPPORT, ETC. TOTAL
SCHEDULE C. STOCKS & BONDS (traded)
NO.OF REGISTERED SOURCE OF PRICE PER PURCHASED ON TOTALDESCRIPTION DATE
SHARES IN NAME OF VALUATION SHARE MARGIN OR PLEDGED VALUE
RETIREMENT ACCOUNTS
NO.OF REGISTERED SOURCE OF PRICE PER TOTALDESCRIPTION DATE
SHARES IN NAME OF VALUATION SHARE VALUE
TOTAL
%
% %
%
%
%
%
& LOANS
BALANCE PAYMENT AMT.
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