SUGGESTED FORMAT SCHEDULE OF LIABILITIES
Applicant's Name _______________________
SUGGESTED FORMAT
SCHEDULE OF LIABILITIES
(Notes, Mortgages and Accounts Payable)
Date of Schedule____________________
Name of Creditor
Original amount
Original date
Current balance
Current or delinquent?
Maturity date
OMB No. 3245-0017
Payment amount (Month- Year)
How Secured
_________________________________________ Signed
_________________________________________ Title
This form is provided for your convenience in responding to filing requirements in item 2 on the application, SBA Form 5. You may use your own form if you prefer. The information contained in this schedule is a supplement to your balance sheet and should balance to the liabilities presented on that form.
SBA Form 2202 (11-01)
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