Small Business Loan Request

ASSETS:
Current Assets
Cash	$_______________
Accounts Receivable	_______________
Inventory	_______________
Other ____________________	_______________
Total Current Assets	$_______________
Fixed Assets
Real Estate	$_______________
Furniture & Fixtures	_______________
Machinery & Equipment	_______________
Vehicles	_______________
Gross Fixed Assets	_______________
Less: Accumulated Depreciation	_______________
Net Fixed Assets	$_______________
Other Assets
Goodwill	$_______________
Other ____________________	_______________
Total Other Assets	$_______________
TOTAL ASSETS	$_______________

LIABILITIES AND NET WORTH:	$_______________
Current Liabilities
Current Portion of Long-Term Debt	$_______________
Current Portion of SBA Loan	_______________
Account Payable	_______________
Accrued Expenses	_______________
Short-Term Notes Payable	_______________
Total Current Liabilities	$_______________
Long Term Liabilities
Long Term Debt (less: current portion)	$_______________
SBA Loan Request (less: current portion)	_______________
Total Long-Term Liabilities	$_______________
TOTAL LIABILITIES	$_______________
Owner's Equity
Owner's Equity	$_______________
Retained Earnings	_______________
Net Worth	$_______________
TOTAL LIABILITIES AND NET WORTH	$_______________

Signature: _____________________________	Date: _____________________________