REBNY Financial Statement Co-Op Condo - 2011
REBNY Financial Statement Co-Op Condo - 2011
REBNY Financial Statement Co-Op Condo - 2011
Applicant:
Co-Applicant:
Address:
Address:
The following is submitted as being a true and accurate statement of the financial condition of the undersigned on the:
___________
day of
___________________________ 20 __ __
ASSETS
LIABILITIES
Applicant
Co-Applicant
Applicant
Co-Applicant
To Banks
Contract Deposit
To Relatives
To Others
(Schedule B)
Automobile
Other
Automobiles:
Year
Make
Personal Property and Furniture
Life Insurance
Chattel Mortgages
Loans on Life Insurance Policies
KEOGH
TOTAL LIABILITIES
$0.00
$0.00
NET WORTH
$0.00
$0.00
$0.00
COMBINED ASSETS
$0.00
$0.00
COMBINED LIABILITIES
Applicant
Base Salary
Maintenance
Overtime Wages
Apartment Financing
Other Mortgages
Bank Loans
Auto Loans
Other:
(Schedule H)
TOTAL
TOTAL
$0.00
$0.00
COMBINED TOTAL
$0.00
GENERAL INFORMATION
Applicant
CONTINGENT LIABILITIES
Co-Applicant
An Endorser or Co-maker on Notes
Alimony Payments (Annual)
Child Support
Purpose of Loan
$0.00
Co-Applicant
$0.00
$0.00
Itemized Schedules
Please include verification statements and proof of liquid assets as required by your coop or condo.
A: ITEMIZED SCHEDULE OF CASH
Financial Institution
Applicant or Co-Applicant
Type of Account
Account Balance
Marketable Value
Non-Marketable Value
Monthly Operating
Costs
Residential or
Commercial
(If commercial, what are
the gross rents?)
Date
Acquired
Cost
Actual Value
Mortgage
Amount
Maturity Date
Amount
Date
Amount
Due
Interest
Pledged as Security
Mortgage Amount
Principal Remaining
Maturity Date
Amount
Date
Payments
Security
Is this recurring?
IF YOU ARE A PRINCIPAL OF OR ARE EMPLOYED BY A FAMILY BUSINESS, PLEASE COMPELTE THIS SECTION:
Applicant
Co-Applicant
The foregoing application has been carefully prepared, and the undersigned hereby solemnly declare(s) and certify(s) that all information contained herein is complete, true, and
correct. The information is submitted as being a true and accurate statement of the financial condition of the undersigned
on the ____________ day of ______________ , 20 __ __ .
X ______________________________________________________________
Applicant
______________________________________
Date
X ______________________________________________________________
Co- Applicant
______________________________________
Date