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{"sheet":"Personal Finance Statement","index":0,"n_rows":137,"n_cols":7,"rows_kept":137,"cut":false,"hidden":false,"merged":[[112,1,112,2],[106,1,106,2],[107,1,107,2],[108,1,108,2],[109,1,109,2],[110,1,110,2],[111,1,111,2],[135,1,135,6],[136,1,136,6],[11,0,11,6],[93,1,93,3],[119,1,119,2],[118,1,118,2],[117,1,117,2],[105,1,105,2],[101,1,101,3],[78,1,78,2],[40,0,40,2],[94,0,94,6],[134,0,134,2],[122,1,122,2],[131,1,131,2],[133,1,133,2],[132,1,132,2],[99,1,99,3],[122,3,122,4],[131,3,131,4],[120,0,120,6],[114,1,114,2],[92,1,92,3],[133,3,133,4],[121,1,121,2],[121,3,121,4],[100,1,100,3],[96,1,96,3],[124,1,124,2],[116,1,116,2],[115,1,115,2],[14,0,14,6],[103,1,103,2],[104,1,104,2],[30,1,30,2],[32,0,32,2],[95,1,95,3],[97,1,97,3],[98,1,98,3],[102,0,102,6],[12,0,12,6],[21,1,21,2],[22,1,22,2],[23,1,23,2],[13,0,13,6],[15,1,15,3],[18,1,18,3],[19,1,19,3],[19,5,19,6],[15,5,15,6],[91,1,91,3],[42,0,42,5],[63,1,63,3],[80,1,80,3],[66,1,66,2],[77,1,77,2],[46,0,48,2],[56,1,56,3],[65,1,65,2],[52,1,52,3],[43,0,45,6],[50,1,50,3],[49,0,49,6],[51,1,51,3],[38,0,38,5],[41,3,41,5],[39,0,39,2],[41,0,41,2],[40,3,40,5],[39,3,39,5],[33,0,33,2],[31,0,31,1],[34,0,34,2],[37,0,37,2],[36,0,36,2],[37,4,37,5],[64,0,64,6],[0,0,0,6],[132,3,132,4],[16,5,16,6],[17,5,17,6],[18,5,18,6],[28,1,28,2],[25,1,25,2],[24,1,24,2],[29,1,29,2],[71,1,71,2],[79,0,79,6],[53,1,53,3],[62,1,62,3],[61,1,61,3],[60,1,60,3],[59,1,59,3],[58,1,58,3],[57,1,57,3],[67,1,67,2],[70,1,70,2],[89,1,89,3],[88,1,88,3],[87,1,87,3],[86,1,86,3],[83,1,83,3],[82,1,82,3],[81,1,81,3],[76,1,76,2],[73,1,73,2],[130,1,130,2],[130,3,130,4],[129,1,129,2],[129,3,129,4],[128,1,128,2],[128,3,128,4],[127,1,127,2],[127,3,127,4],[55,1,55,3],[54,1,54,3],[69,1,69,2],[68,1,68,2],[85,1,85,3],[84,1,84,3],[75,1,75,2],[74,1,74,2],[123,3,123,4],[72,1,72,2],[126,1,126,2],[126,3,126,4],[125,1,125,2],[125,3,125,4],[124,3,124,4],[123,1,123,2],[113,1,113,2],[90,1,90,3]],"flags":["formulas_cached_only"]}
["Instructions for Completing the Automated Personal Financial Statement\n"]
[null,"1. Complete all shaded spaces."]
[null,"2. Schedule totals from page two will automatically transfer to page one in the appropriate spaces."]
[null,"3. Round numbers to the nearest $1."]
[null,"4. Insert “0” where applicable."]
[null,"5. Columns will automatically add."]
[null,"6. Save file for easier updates in the future."]
[null,"7. Print document, sign in ink."]
[null,"8. Return completed form to the bank, per their instructions. "]
[null,"Never send confidential financial information through an unsecured email.  "]
[]
[]
[]
[]
["Personal Financial Statement"]
[{"$nulls":4},"Date of Statement:"]
["Name:",null,"SS#",null,"Employer:"]
["Name:",null,"SS#",null,"Employer:"]
["Address:",null,null,null,"Home Phone:"]
["City, State, Zip Code:",null,null,null,"Business Phone:"]
[null,"Assets",null,"Amount in Dollars",null,"Liabilities","Amount in Dollars"]
["Schedule 1","Cash - checking, savings, on hand",null,"","Schedule 6","Current Debt (Accounts Payable)",""]
["Schedule 2","Securities - stocks / bonds / mutual funds",null,"","Schedule 7","Real estate mortgages         ",""]
[null,"Notes & contracts receivable",null,null,null,"Taxes payable"]
["Schedule 3","Retirement Funds (eg. IRAs, 401(k))",null,"","Other Liabilities (specify):"]
["Schedule 4","Life insurance (cash surrender value)",null,""]
[null,"Personal Property, HHGS"]
["Schedule 5","Real Estate Owned ",null,""]
["Other"]
[{"$nulls":5},"Total Liabilities",""]
[null,"Total Assets",null,"",null,"Net Worth",""]
["GROSS ANNUAL INCOME       Year Ended 12/31/",null,null,"AMOUNT","MONTHLY EXPENSES",null,"AMOUNT"]
["Salary or Wages",null,null," ","Payments on Mortgages",null,""]
["Bonus and Commission",null,null," ","Payments on All Other Loans",null,""]
["Dividends and Interest",null,null," ","Other Expenses",null," "]
["Rental and Lease Income",null,null," ",null,null," "]
["Other Income",null,null," ",null,null," "]
["Total Annual Income",null,null,"","Total Monthly Expenses",null,""]
["CONTINGENT LIABILITY",{"$nulls":5},"AMOUNT"]
["As a co-maker or guarantor on notes or leases",{"$nulls":5}," "]
["As a partner or officer in any other venture (if so describe)",{"$nulls":5}," "]
["Defendant in any legal action (explain)",{"$nulls":5}," "]
["Total Contingent Liability",{"$nulls":5},""]
["The information contained in this statement for the purpose of obtaining, or maintaining credit with you on behalf of the undersigned, or persons, firms or corporations in whose behalf may either severally or jointly with others, execute a guaranty in your favor. Each undersigned understands that you are relying on the information provided herein (including the designation made as to ownership of property) in deciding to grant or continue credit. Each undersigned represents and warrants that the information provided is true and complete and that you may consider this statement as continuing to be true and correct until a written notice of a change is given to you by the undersigned. You are authorized to make all inquiries you deem necessary to verify the accuracy of the statements made herein, and to determine my/our creditworthiness, including obtaining personal credit bureau reports. You are authorized to answer questions about your credit experience with me/us."]
[]
[]
["Notice: The State Laws against discrimination require that all creditors make credit equally available to all credit-worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The State Civil Rights Commission administers compliance with this law.",null,null,"Signature:",null,"D.O.B."]
[null,null,null,"Signature:",null,"D.O.B."]
[]
["Schedule 1: Checking and Savings Accounts"]
[null,"Bank Name",null,null,"Account Holder Name","Type(s) of Account","Balance"]
{"$rows_empty":12}
[{"$nulls":5},"Total",""]
["Schedule 2: Securities / stocks / bonds / mutual funds / stock in closely held companies (Attach additional information if needed)"]
[null,"Name of Investment",null,"Date of Acquisition","Number of Shares","Price Per Share","Total Value"]
{"$rows_empty":12}
[{"$nulls":5},"Total",""]
["Schedule 3: IRA's, 401(k), Retirement Accounts"]
[null,"Bank / Brokerage",null,null,"Amount","Name","Total Value"]
{"$rows_empty":12}
[{"$nulls":5},"Total",""]
["Schedule 4: Life Insurance"]
[null,"Company Name / Person Insured",null,null,"Beneficiary","Face Amount","Cash Value"]
[]
[]
[]
[]
[]
[{"$nulls":5},"Total Cash Value",""]
["Schedule 5 & 7: Real Estate (Attach additional information if needed)"]
[null,"Description / Location",null,"Creditor Name","Monthly Payment","Amount Due","Market Value"]
{"$rows_empty":15}
[{"$nulls":4},"Totals","",""]
["Schedule 6: Accounts Payable & Installment Loans"]
[null,"Creditor Name",null,"Collateral",null,"Monthly Payment","Balance Due"]
{"$rows_empty":12}
[{"$nulls":5},"Total",""]
[null,"This form is only intended to be used by GNB and its customers."]
[null,"Do not return financial information through unsecured email."]