FORM DOT-CS-100
|TO ACCOMPANY TDOT’S FORM DT-0330 |
| |BALANCE SHEET FOR ________________ | |
| |(End of Firm’s Fiscal Year) | |
| | | |
| | |Name of Firm | | |
| |
|ASSETS |LIABILITIES AND NET WORTH |
|CURRENT ASSETS |CURRENT LIABILITIES |
|Cash: | |Judgements & Accounts Payable | | |
| |On Hand | | | | | |
| |In Banks | | |Notes Payable | | |
|Certified Checks on Deposit for Bids | | | |(a) To banks for certified checks | | |
| |Notes Receivable (Less Discount) | | | |(b) To banks for payoffs | | |
| |Accounts Receivable | | | |(c) To material companies | | |
| |Stocks and Bonds | | | |(d) To equipment companies | | |
| |Inventories | | | |(e) To other (exclusive of equipment) | | |
| |Interest Receivable Accrued on | | |Owing Subcontractors | | |
| |Notes, Securities, etc. | | | | | |
| | | | |Accrued taxes | | |
| |Life Insurance | | |Accrued Salaries and Payoffs | | |
| | | |Accrued Interest Payable | | |
| |Total Current Assets | | | |Total Current Liabilities | | |
| | | | | |
|FIXED ASSETS NET BOOK VALUE |FIXED AND OTHER LIABILITIES |
| |Plant and Equipment | | |Mortgage on Plant Equipment | | |
| |Real Estate | | |Mortgage on Real Estate | | |
| | |Other Liabilities | | |
| |Total Fixed Assets | | | |Total Fixed and Other Liabilities | | |
| | | | |
|OTHER ASSETS |NET WORTH |
| |Real Estate - Not used in business | | |Individual Partnership | | |
| | and, Bldg., Improvement, etc. | | |Retained Earnings | | |
| |Misc. Assets | | |Capital Stock | | |
| |Total Other Assets | | |Surplus | | |
| | | | | | | |
|TOTAL ASSETS | | |TOTAL LIABILITIES AND NET WORTH | | |
|The Financial Statement above presents fairly the financial position of the subject firm in the noted period. | |
| | | | | |
| |Name (Signature) | |Title | |
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