Buyer’s Confidentiality Agreement



PERSONAL FINANCIAL STATEMENT

|ASSETS | | |

| |Cash – Checking Accounts |$ |

| |Cash – Savings Accounts |$ |

| |Certificate of Deposits |$ |

| |Securities/Stocks |$ |

| |Accounts/Notes Receivables |$ |

| |Real Estate |$ |

| |Household Goods |$ |

| |Vehicles |$ |

| |Cash Value of Life Insurance |$ |

| |401(k) Plans |$ |

| |Individual Retirement Accounts |$ |

| |Other Assets |$ |

| |Details: _________________________ | |

| |_________________________ | |

| |TOTAL ASSETS |$ |

|LIABILITIES | | |

| |Notes Payable |$ |

| |Accounts/Bill Due |$ |

| |Credit Cards Payable |$ |

| |Vehicle Loans |$ |

| |Unpaid Taxes |$ |

| |Real Estate Mortgage Payable |$ |

| |Life Insurance Loans |$ |

| |Other Liabilities |$ |

| |Details: _________________________ | |

| |_________________________ | |

| |TOTAL LIABILITIES |$ |

|NET WORTH |TOTAL ASSETS – TOTAL LIABILITIES |$ |

SIGNATURE: ______________________________________

NAME: ___________________________________________

DATE: ____________________________________________

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