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FED ERAL RESERVE BANK O F NEW YORK /■Circular N o . 3 6 2 8 1 LD e ce m b e r 15. 1950 J SIMPLIFIED COMMERCIAL CREDIT FILE T o A ll Banks and Trust Companies in the Second Federal Reserve D istrict: During the past year a special committee of the New York State Bankers Association has been developing a simplified commercial credit file, intended particularly for banks of small or moderate size. In the course of its development the file was carefully tested in actual practice by a number of volunteer banks, and it was submitted to supervisory authorities for suggestions. The aim was to produce a file which would contain all the information needed to make a sound loan, yet be simple and easy to maintain. W e are pleased to respond to the request of the New York State Bankers Association to under take the distribution of this file to banks in the Second Federal Reserve District, confident that it gives us an opportunity to help many banks in the district in serving the credit needs of their communities. The file consists of a special folder and the following form s: Financial statement form (this is the same form we have been supplying to member banks) Analysis form (for comparing financial statements) Original history sheet Continuing history sheets (for recording current and pertinent data) A sample file is enclosed, together with a sample credit memorandum form in which loaning officers can record information obtained during interviews with customers, an explanation o f the various form s, and instructions for setting up and maintaining the file. During recent years bank loan portfolios have increased substantially; the average amount of individual loans has also increased and the need for sound loan supervision is therefore greater today than ever before. In addition, borrowers have a right to expect that their good credit standing and the bank’s favorable experience with them be a matter of permanent record at the bank with which they do business. The use of the credit file will not, of course, guarantee the quality of loans made — that will still depend upon the judgment of the individual banker and his directors. However, the ready availability of properly maintained credit data, together with the knowledge and judgment of management, should enable a bank to satisfy the credit needs o f its community and to grant to borrowers the credit to which they are entitled without exposing the bank to undue risks. W e are prepared to furnish the credit folders and form s mentioned above, separately or in sets, upon the following basis: Folders will be furnished in any quantity at a cost of 10<f each. Forms will be furnished without charge to all banks. Credit memoranda will be furnished in pads o f 100, at a cost o f 25tf per pad. An order form is enclosed on which you may indicate the folder and of each form you m ay wish for current use. W e will to install credit files or to review their present credit analysis assistance may be directed to the Bank Relations Department of number of copies of the credit be glad to assist member banks procedures. Requests for such this Bank. A llan S proul, President. Form (lU vliad February 1938) FINANCIAL Statement Form Suggested by Federal Reserve Bank of New York STATEM ENT C O R P O R A T IO N (Short Form) of NAME .A D D R E SS B U S IN E S S ____ TO ___ B A N K O F ________________ ____________ We make the follow ing statement of all the assets and liabilities of this corporation at the close o f business o the................................................ ..... day o f....................................... , 19...... , and give other material information for the purpose of obtaining advanci on notes and bills bearing our signature or endorsement, and for obtaining credit generally upon present and future applications. (PLEASE COM PLETE A L L SCHEDULES A N D FILL IN A L L B L A N K S ; IN SE R T ''N O N E " IF A PP R O P R IA TE .) ASSETS LIABILITIES Notes Payable to Banks $ Cash $ On hand, and unrestricted in banks Notes Receivable Notes Payable to Trade Creditors from Customers Given for merchandise, equipment, etc. G ood , and readily collectable Notes Payable to Others Accounts Receivable from Customers Except officers, stockholders and employees Current and collectable Merchandise Loans on Life Insurance Life Insurance, Cash Surrender Value Accounts Payable W ithout deducting loans D ue to Officers, Stockholders, Employees Securities, Readily Marketable Stocks, bonds, etc., at present selling value Due to Subsidiaries and Affiliates Taxes and Assessments (Itemize above other current assets) Mortgage and Bonded Debt Total Current Assets Due and payable within one year Accrued Liabilities Land and Buildings For wages, interest, insurance, etc. W ithout deducting mortgages or depreciation reserves Machinery, Epuip’t, Furniture, Fixtures, etc. W ithout deducting depreciation reserves (Itemize above other current liabilities) Accounts and Notes Receivable Total Current Liabilities From customers, slow or doubtful o f collection Real E sta te M o r t g a g e s Payable Investments in Subsidiaries and Affiliates Due and payable after one year Not including loans, advances, accounts, etc. Due from Subsidiaries and Affiliates Other deferred liabilities (describe) Due from Officers, Stockholders, Employees Total Liabilities Reserve for Depreciation Capital Stock Surplus Total Assets Total Liabilities and N et W orth S , 19 S T A T E M E N T O F P R O F IT & LOSS for period beginning Inventory, Beginning o f Period and ending Inventory, End of Period S S 19 S N et Income from Sales Net Purchases Operating Expense Income from Investments Officers’ Compensation Income from Commissions Bad Debts Charged Off Other Income (Item ize) Depreciation Charged O ff Other Administrative, Selling & G en’l Exp’se Reserves Created N et Profit Total N e t Loss s Total R E C O N C IL IA T IO N O F E A R N E D SURPLUS for period beginning S 19 and ending Earned Surplus, Beginning o f Period Deductions from Earned Surplus (Itemize below ) Additions to Earned Surplus (Itemize below) ...........s Total Additions .............................. Total Deductions .(U se next colum n).__ N e t Surplus C h a n g e ___________ Earned Surplus, End of Period http://fraser.stlouisfed.org/ CR. 7.6 25M-2-50 Federal Reserve Bank of St. Louis ( c o n t in u e d o n o t h e r sid e ) 19 (C O N T IN U E D PftOM O TH ER SID E) iontingent Liabilities and Commitments. jw s : This corporation has no contingent liabilities or commitments outstanding against it, except as fol- Notes and Accounts Receivable, Trade Acceptances, Conditional Sales Contracts, etc., discounted, or sold with recourse $..................................... ; s Accommodation Endorser or Guarantor $..................................... ; on Mortgage Bonds $ ...................................... ; in connection with Law Suits, including orts, Injuries, etc. | .......................................... ; in connection with Leases $ ......................................; claims for Taxes $ ......................................Commitments to iuy $ .......................................... Commitments to Sell $.......................................... Description and Location o f Each Parcel Amount of Fire Insurance Assessed Value Amount o f Mortgages Taxes, Assessm'ts Mortgage Interest Due and Unpaid The legal and equitable title to all the real estate listed in this statement is solely in the name of the undersigned cor- form. Selling terms ................................................................................................... Purchasing terms ............................................................................................................ Maximum and Minimum Liabilities (during last fiscal year). as this Maximum of $..................................... on........................................................ , 19...... Minimum of $.....................................on.......................................................... 19...... On merchandise $ ..........................................; on machinery, Date of last audit............................... Date of fiscal year end................................ Suits, Judgments and Other Legal Actions. Description of all such $ ................................. purities (Stocks, Bonds, e tc .). Description of each investment, and Incorporation. :gistered in name of ................................................................................................... otes Payable. Description of security given...................................................... This corporation was organized under the laws of the Capital Stock Outstanding (o n statement date). Common S tock:..........................................shares..............$ .......................................... ccounts Payable. Past due...........................................................$ ............................ Dividends accumulated and unpaid ............................$ .......................................... eferred Liabilities (Bonds, etc.). Surplus (on statement date). Description of security given ........ Unearned or Capital Surplus ..........................................$.......................................... ibsidiary and Affiliated Companies and Interests. There are none, except the following (names and relationship): fficers and Directors. Name form space pending, outstanding or remaining unsettled against this corporation:.... this Name of outside auditor................................................................................................. on ife Insurance on Officers for Benefit o f Company. Number o f Shares Owned Annual Compensation Title Common Preferred Identify each $ each assets, pledged as security to mortgages or covered by liens, not dis- whenever intract to buy merchandise in the amount of $...............................................; hich goods are worth $..........................................at present market prices. Description of all property, including current schedules :ld, not included in balance sheet $ .......................................... W e are under M ortgages, Liens, etc. separate ow moving or obsolete goods $ ...................................... Goods held by us Attach lished goods $..................................... ; supplies, etc., $ ...................................... is insufficient. Liability Insurance. Automobile property damage $ .......................................... personal liability $............................ General public liability $ ............................ Autos and trucks owned or operated without insurance..................................... schedule same equipment, furniture, fixtures, etc. $ ...................................................................... sign Fire Insurance. rcounts assigned, pledged or hypothecated $ ................................................... and Past due, but less than 90 statement; date ccounts Receivable (From Customers). this financial Terms. part of Considered collectable within 90 as being Totes Receivable (From Customers). schedule itle to Real Estate. Other (describe): .......................................................................................................... Estimated Present Value ,and and Buildings. edge, Assignment and Transfer o f T itle o f Assets. A s of the date of the statement of assets and liabilities included in this financial statement, ■ne of the assets of this corporation as listed herein were pledged, assigned, hypothecated, nor had the title thereto been transferred, except as ted in this financial statement; and none of the assets of this corporation have been since that date pledged, assigned or hypothecated, nor has ; title thereto been transferred, except as follows: W e , the undersigned, hereby certify that the foregoing statement of assets and liabilities and the statement of profit and loss and conciliation of surplus, are taken from the books of this corporation and that they are in accordance with said books and that they d all other statements printed or written on the two sides o f this sheet have been carefully read and are true and give a correct showg o f the financial condition o f the corporation as of the date of the balance sheet hereinabove contained, except where a different date specifically noted. I N T H E E V E N T O F A N Y M A T E R IA L C H A N G E I N T H E F IN A N C IA L C O N D I T I O N O F T H IS C O R P O R A O N , W E A G R E E T O N O T I F Y S A ID B A N K I M M E D IA T E L Y I N W R I T I N G . jned this...................................... — day o f------------------------------- 19---------- Signature — — --------------------------- ------ ..................... ............ ........................ B y ----------------------------------------------------------------------------------------------------------(Name and Official Title) uy Statement i'orcn f o r d CK.& (Kevised i'curuary, 193&) FINANCIAL Federal Reserve Bank of New Yos FIRM STATEMENT (Short Form) of NAME. ___ ADDRESS- BUSINESS.____ ___ BANK OF— We make the following statement of all the assets and liabilities of our partnership at the close of business on tb ........................................... day of............................ 19 .............., and give other material information for the purpose of obtaining advances c notes and bills bearing our signature or endorsement, and for obtaining credit generally upon present and future applications. (PLEASE COMPLETE ALL SCHEDULES AND FILL IN ALL BLANKS; INSERT “ NONE” IF APPROPRIATE) TO.___________ LIABILITIES ASSETS Cash $ Notes Payable to Banks S --- On hand, and unrestricted in banks Notes Payable to Trade Creditors Notes Receivable from Customers Given for merchandise, equipment, etc. Good, and readily collectable Loans from Relatives, Friends, etc. Accounts Receivable from Customers Current and collectable Merchandise Loans on Life Insurance Life Insurance, Cash Surrender Value Accounts Payable W ithout deducting loans Securities, Readily Marketable Interest Due and Unpaid Stocks, bonds, etc.. at present selling value On notes, mortgage loans and other obligations Taxes and Assessments Payable Levied and not paid Chattel Mortgages Payable (Itemize above other current assets) Real Estate Mortgage Debt (Current) Total Current Assets Payable within one year Land and Buildings Machinery, Equipment,Furniture,Fixtures,etc. (Itemize above other current liabilities) Total Current Liabilities Reel Estate Mortgages Payable Notes and Accounts, Due from Customers Due and payable alter one year Loans and Advances Other deferred liabilities (describe) Mortgages Owned Total Liabilities Securities, Not Readily Marketable Reserve for Depreciation Considered o f sound worth at value indicated Net Worth Total Assets s STATEMENT OF PROFIT & LOSS for period beginning $ Inventory, Beginning of Period Net Purchases Operating Expense Partners' Compensation Bad Debts Charged Off Depreciation Charged Off Other Administrative, Selling & Gen’I Exp’se Reserves Created Net Profit Total $ RECONCILIATION OF NET WORTH for period beginning Deductions from Net Worth (Itemize below) Total Liabilities and Net Worth % 19 and ending 19 % Inventory, End of Period Net Income from Sales Income from Investments Income from Commissions Other Income (Itemize) Net Loss Total S 19 and ending Additions to Net Worth (Itemize below) Loss for Period........................................S.............. Withdrawals............................................ Total Additions................................ ...... .......... ..... ... Total Deductions........................................... (Uoe next column). Net Change In Net Worth..................................................... Net Worth, End of Period................................................ ....................................................................................................... http://fraser.stlouisfed.org/ cn. B.4-20M-2-B0 CONTINUED ON OTHER SIDE Federal Reserve Bank of St. Louis . 19 COW H AU ivO F R O M U i n K K a lilit Contingent Liabilities and Commitments. We have no contingent liabilities or commitments outstanding against us, except as follows: and Accounts Receivable, Trade Acceptances, Conditional Sales Contracts, etc., discounted, or sold with recourse $------------------------- ; as Accommodation Endorsers or Guarantors $ ------------------------- ; on Mortgage Bonds $--------------------------; on Bail Bonds $------------------------- ; in connection with Law Suits, including Torts, Injuries, etc. $-------------------; in connection with Leases $ _____________; claims for Taxes $ __________ Commitm ents to Buy $ ________________ Commitments to Sell $.----------------------- Other (describe): ________________________________________ Notes L an d a n d B u ild in g s Description and Location of Each Parcel Estimated Present Value Acres Amount of Fire Insurance Assessed Value t S Amount of Mortgages S t Taxes. Assessments, Mortgage Interest Due and Unpaid J ritls to Real Estate. The legal and equitable title to all the real estate listed in this statement is solely in the name or names of one or more o| ;he partners of this firm, except as follows: Notes Payable. Description of security given.-.............................. Loans From Relatives, Friends, etc. Accounts Receivable (From Customers). Past due, but less than 50 Hays f ....................................; past due more than 90 davs R ... Mwr-handise Description of security given— Accounts Payable. Securities (Stocks, Bonds, etc.). Description of each investment, and Loans and Advances. T o whom made.-------------------------------------------Security held - ......................— --------------- When due--------------------- When due.............. . ......... . _ ............................ ............... ....................... Past due $ _________ ______ _____________________ Maximum and Minimum Liabilities (during last fiscal year). Maximum of $ .................... .. . on_ ...... ................ , 19 Minimum of $.. .. ____on______ ( T9 Fire Insurance. On merchandise $— .................; on marhinMy, equipment, furniture, fixtures, etc. $ ............. ................................... Liability Insurance. Automobile prnpwty damage f • on hand or in transit, or otherwise joods are worth $ ________ ____ - at present market prices. Life Insurance on Partners for Benefit of Firm. S................................ . Autos and trucks owned or operated without insurance._____________ Mortgages, Liens, etc. Description of all property, including current assets, pledged as security to mortgages or covered by liens, not dis closed elsewhere in statement. ____ ___ Accounting Information. Frequency of audit*? Name of outside auditor... ............................ ..... ...... Date of last audit....................... D a te of fiscal year **nd Suits, Judgments end Other Legal Actions. Description o f all such pending, outstanding or remaining unsettled against firm or any indi vidual partner.—..................................... ........ Pledge, Assignment and Transfer of Title of Assets. As o f the date of the statement of assets and liabilities included in this financial statement, aone of our assets as listed herein were pledged, assigned, hypothecated, nor had the title thereto been transferred, except as noted in this finan cial statement; and none of our assets have been since that date pledged, assigned or hypothecated, nor has the title thereto been transferred, ixcept as f o l l o w s : _________________________________________________________________________ Dther Business Interests of Partners; and Affiliated Interests of Firm. There are none, except as follows: Partnership. (State whether partnership operates under written Articles of Copartnership, or verbal agreement): Date of Partnership Agreement------------- ------------------ - 19—— ; date of expiration------------------------------ - 19 -----Listed below are all the General and Special Partners of this firm: Name Annual Compensation from Firm Age Amount of Capital Contributed Net Worth Outside of Firm Date Liabilities Outside of Firm Direct Debt* Liability aa Including Guarantor Mortgages Endorser, etc. Amount jeneral Partners $ $ f $ 1 SpscLO Partners Extent to which Special Partners are responsible for debts of this partnership, and to what date: We, the undersigned, hereby certify that the foregoing statement of assets aad liabilities, statement of profit and loss, and reconciliation of let worth, are taken from the books of this partnership, and that they are in accordance with said books, and that they and all other statements printed or written on the two sides of this sheet have been carefully read and are true and give a correct showing of the financial condition of [his partnership as of the date of the balance sheet herein contained except where a different date is specifically noted. IN THE EVENT OF ANY MATERIAL CHANGE IN OUR FINANCIAL CONDITION, WE AGREE TO NOTIFY SAID BANK IMMEDIATELY IN WRITING. this______________________day 01--------------------------------- 19 ------- ALL PARTNERS SHOULD SIGN When There Is No Written Partnership Agreement Signatures (Firm and partners) ----------------------------------------------------- Attach separate schedules whenever space cn this form is insufficient. Identify each schedule as being part of this financial statement; date and sign each schedule same as this form. Notes Receivable (From Customers). Considered collectable within jo Hayc f ............ .......; of slow or doubtful collectability Statement Form Suggested by Federal Reserve Bank of New Yc INDIVIDUAL Merchant, Manufacturer, etc. Form GB.J {Revised November 1987) financial statement of (Short Form) NAME. BUSINESS. -ADDRESS- TO_______ -BANK OF. 1 moke the following statement o f all my assets and liabilities at the close of business 19____ _ aad give other material information for the purpose of obtaining advant .day of. on notes and bills bearing my signature or endorsement, and for obtaining credit generally upon present and future applications. (PLEASE COMPLETE ALL SCHEDULES AND F IU . IN ALL BLANKS; INSERT “ NONE” IF APPROPRIATE.) the LIABILITIES ASSETS Cash Notes Payable to Banks $ On band, and unrestricted In banks * Notes Payable to Trade Creditors Notes Receivable from Customers Given fo r merchandise, equipment, etc. Good, and readily collectible Accounts Receivable from Customers Loans from Relatives, Friends, etc. Merchandise Loans on Life Insurance Life Insurance, Cash Surrender Value Accounts Payable Current and collectible Without deducting loans Interest Due and Unpaid Securities, Readily Marketable On notes, mortgage loans and other obligations Stocks, bonds, etc., at present selling value Taxes and Asseesmeots Payable Levied and not paid Chattel Mortgagee Payable (Itemise above other current assets) Real Estate Mortgage Debt (Current) Total Current Assets Land and Buildings Payable within oae year Without deducting mortgages or depreciation reserves Mach., Equipment, Furniture, Fixtures, etc. (Itemize above other current liabilities) Without deducting depreciation reserves Total Current Liabilities Real Estate Mortgages Payable Notes and Accounts, Due from Customers Doe and payable after one year Considered o f slow or doubtful oollection Loans and Advances Other deferred liabilities (describe) Made to employees, relatives, friends, ete. Mortgages Owned Total Liabilities § Considered o f sou Ad worth at value Indicated l 1 S • i Securities, Not Readily Marketable Net Worth Total Assets Total Liabilities and Net Worth $ ,1 9 STATEMENT OF PROFIT & LOSS for period beginning Inventory, Beginning of Period Inventory, End of Period $ $ and ending $ Net Income from Sales Income from Investments Income from Commissions Other Income (Itemize) Net Purchases Operating Expense Proprietor’ s Compensation Bad Debts Charged Off Depreciation Charged Off Other Administrative, Selling & Gen’ l Exp’ se Reserves Created Net Profit Total * _________ ___ RECONCILIATION OF NET WORTH for period beginning Net Loss Total 1 , 19 and ending Net Worth, Beginning of Period Deductions from Net Worth (I below) Additions to Net Worth (Itemize below) Loss for Period................................... $. Profit for Period.......................................... $ - Withdrawals ....................................... — Additional Capital Furnished.................... — Total Additions Total Deductions .................................(Dm aext eolumn) Net Change in Net W orth.............................................. Net Worth, End o f Period................................. .............................. ................................................................................................... $http://fraser.stlouisfed.org/ C R . 1 .B -4 0 M -1 0 -B 0 CONTINUED ON OTHER SIDE Federal Reserve Bank of St. Louis , 19 CONTINUED FROM OTHER SIDE >ntingent Liabilities and Commitments. I hare no contingent liabilities or commitments outstanding against me, except as follows I ites and Account* Receivable, T rade A cceptance*, Conditional Sale* Contract*, eto„ discounted or sold with recourse $ .......... ..A Accommodation Endorser or Guarantor $. ...................... t on Mortgage Bonds ... .... ........| on Bail Bonds $ --------- ------- ------— ,— j In nnection with Law Suits, including Torts, Injuries, etc. $ I in connection with Leases $. .1 claims for Taxes ---- -— .... .... Commitments to Buy $ — . . . . . . Commitments to Sell $ Other (describe); a l E sta te . (L ist each pared separately as N o. 1, t, S. etc.) Description and Location Acres Cost with Improvement* A ge and Condition Fire Insuranee Assessed Value $ $ Estimated Present Value $ I I Second Hortgage First Mortgage Amount Due Date $ Amount Third Mortgage Due Date Amount Due Date $ $ 1 axes, Assessments Interest Du* $ Yearly Gross Bental Income Yearly Net Rental Intome (Before Depreciation) $ $ 1 \ tie to Real Estate. The legal and equitable title to all the real estate listed in this statement is solely in my name, except as follows* ?tes Receivable (From Customers), Considered collectible within » days $--------------------------------- 1 o f slow or doubtful collectability _________________ { pledged or discounted $ ............... .. ■ Note* Payable. Description of security given. ccounts Receivable (From Customers). Past due, but less than I days $___________________________ ; past due more than 90 days ___________ I considered of doubtful collectability $ | counts assigned, pledged or hypothecated -- -- archandise; Date o f last physical Inventory —.......... made — .— .................................... ........ - — , ■......—.—----------When due. Accounts Payable. Past due $. Chattel Mortgages Payable. Description o f property mortgaged, isis of valuation_____ - ... ......... ......... ...... ..... ...... iw materials $_________________ t in proeess | . ............. ...... > lished goods $_________________ S supplies, ete. $ . . ow moving or obsolete goods $__________ Goods held b y me i consignment $-___________ ____________ t out on oonsignment to others __________ - Merchandise on hand or in transit, or otherwise 'Id, not included in balance sheet $--------------------------- I am nnder ntract to buy merchandise in the amount o f $------------------ j which at present market prices. tods are worth $. fe Insurance (O n My L ife). Face amount $ime o f beneficiary— ■ . ....... curities (Stocks, Bonds, etc.) Description of each investment, and icther readily marketable at stated value* Loans From Relatives, Friends, etc. Purpose for which loan was and terms of payment .. .... ..................— ............... Terms. Selling terms ............. — .............—.......... ■ ■— ......... Purchasing terms Maximum and Minimum Liabilities (during last fiscal year). 19. Maximum o f $------------------------- on_ 19. Minimum of $—-------------- -------- on_ on machinery. Fire Insurance. On merchandise $equipment, furniture, fixtures, etc. $ ., . —......... ........... Liability Insurance. Automobile property damage $----personal liability $ ...... ...... ..... General public liability $. Autos and trucks owned or operated without insurance. Mortgages, Liens, etc. Description o f all property, including cutrent assets, pledged as security to mortgages or covered by liens, ...... ... ,......... . not disclosed elsewhere in statement__ — Accounting Information. Frequency o f audita............................. —~ Name of outside auditor._____ ___ __ _______ __ _ ______ _______ _ Date of last audit_______ ____ Date o f fiscal year end---------------- -Suits, Judgments and Other Legal Actions. Description o f all sueh pending, outstanding or remaining unsettled; ................. .. .. Other Business Interests. (D e s crib e )....................... — ...— ----Assets and Liabilities Outside o f This Business. My assets and lia curities registered in name oL >ans and Advances. T o whom made ............ bilities outside of the business, not disclosed elsewhere in this state* ment, are as follows: curity h e ld ...................... - ........,._When due_ Assets $___________________ Liabilities $.... ...... ....... ... — ortgages Owned. First mortgages $_ Personal Status. I am aged___ years. Year this business started.. .General description o f cond mortgages $ opertiesi............................ Marital status (single, married, etc.) . — .......... .................... Name of wife (o r husband)................. - ............. ...... edge, Assignment and Transfer o f Title o f A ssets. A s o f the date o f the statement o f assets and liabilities Included in this financial atement, none of my assets as listed herein were pledged, assigned, hypothecated, nor had the title thereto been transferred, except as >ted in this financial statement; and none of my assets have been sinee that date pledged, assigned or hypothecated, nor has the title ereto been transferred* except as follows: I, the undersigned, hereby certify that the foregoing statement of assets and liabilities, statement of profit and loss, and reconcilia>ir of net worth, are taken from my books, and that they are in acccordance with said books, and that they and all other statements inted or written on the two sides o f this sheet have been carefully read and are true and give a correct showing o f my financial eondiin as of the date of the balance sheet herein contained except where a different date is specifically noted. IN THE EVENT OF ANY ATERIAL CHANGE IN MY FINANCIAL CONDITION, I AGREE TO NOTIFY SAID BANK IMMEDIATELY IN WRITING. Signed this. .day o f. 19 ------- . Signature. F orm C r. 107 Statement Form Suggested by FIN AN CIAL S T A T E M E N T Federal R eserve B a n k o f New Y o PERSONAL NAME. O C C U P A T IO N ADDRESS T o : _____________ .B A N K O F Hat I snake th e fo llo w in g Hialement o f a ll m y assets a n d lia b ilities at th e c lo s e o f b u sin ess as o f th e . ., and g iv e o th e r m a teria l in fo r m a tio n f o r th e p u r p o s e o f o b ta in in g advan ces o n n o tes ai 19. b ills b e a rin g m y sign a tu re, en d o rs e m e n t, o r gu a ra n tee, a n d f o r o b ta in in g c r e d i t g en era lly u p o n p resen t a n d fu tu re a p p lica tio i PLEA SE A N SW ER A L L Q U E S T IO N S U S IN G “ N O ” O R “ N O N E ” W H E R E N E C E S S A R Y . L IA B IL IT IE S an d N E T W O R T H A SSETS Cash (S eeSched. N o . 1) On hand, and unrestricted in banks. Note* P ayable to B a n k s, Unsecured Direct borrowings only. 1 (Sec Sched. N o. 1) N otes P ayable to B a n k s, Seeuz-e<3 A ccounts an d L oa n s R eceiv a b le Direct borrowings only. (See Sched. N o . 1) (See Sched. N o. 2 ) . 1 ........... N otes R e ce iv a b le , D isco u n te d N otes R e ce iv a b le , N ot D iscou n ted W ith banks, finance companies, etc. (See Sched. N o. 1) (See Sched. N o. 2) Notes P a ya b le to O thers, U n secu red N otes R e ce iv a b le , D isco u n te d W ith banks, finance companies, etc. (See Sched. N o. 2 ) N otes P a ya b le to O th ers, S ecu red L ife In su ra n ce, Cash S u rren d er V alu e (D o not deduct loans.) (See Sched. N o . 5) L o a m A ga in st L ife In su ra n ce (See Sched. N o. 3) A cco u n ts P a ya b le Securities— (S to c k s , B o n d s , e tc .) (See Sched. N o. 4 ) M ortgages O w n ed (See Sched. N o. 6) R eal Estate Interest P a ya b le (See Sched. N o. 7) T a x e s a n d A ssessm ents P a ya b le (See Sched. N o . 7 ) B rok ers M a rgin A ccou n ts Debit Balances. (See Sched. No. 5) M ortg a g es P a y a b le o n R eal Estate (See Sched. No. 7 ) O th er L iabilities A u to m o b ile s Registered in Own Name. O ther Assets (Itemize) (Itemize) Net W orth T otal Liabilities and Net W orth T o ta l Asset9 SUPPLEM ENTARY N o. 1. B a n k in g R elation s. Name and Location o f Bank Cash Balance ! Amt. of Loan N o. 2 . A cco u n ts, L oa n s an d Notes R eceiv ab le. Name and Address o f Debtor SC H E D U LE S N o. 5 . B roken Margin Accts. (A list o f all my bank accounts, including savings.) Amount Owing Name and Address of Broker H ow Endorsed, Guaranteed or Secured Amount of Debit Balan (A list o f the largest amounts owing u> m e.) Age o f Debt Description o f Nature o f Debt I Description o f Security Held Date Pay ment Bxpectt N o . 3 . L ife In su ra n ce. Name ot Person Insuted Name o f Beneficiary Name o f Insurance Co. Type of Policy N o. 4 . Secu rities O w n e d . (Stocks, Bonds, etc., but not Mortgages.) Face Value (Bonds) Description o f security Registered in Name of No. of Shares (Stocks) CR. 107 40M 2-50 (SEE OTHER SIDE) Cost Face Amount o f Policy Total Cash Surrender Value Present Market Value Total Loans Against Policy Income Received Last Year Amount ot Yearly Premium Is Polic Assignee T o W hom Pledgee (C O N TIN U E D FROM OTHER SIDE) n. 6. Mortgages Owned. 2 (W rite down column for each mortgage) 3 4 sscripticn o f Mortgaged Property inopul Amount o f Mortgage. srest D oe and Unpaid. iis is a First, Second a t Third Mortgage? m m o f Prior Mortgages. ipaid Taxes, Assessments Due, etc. sent Market Value o f Property sessed Value o f Property received, daring the past year, interest payments on the above mortgages o f $ ................ . and payments on principal o i f . x 7. Real Estate Owned. Location and Description o f Lead and Boil ding Owned Second Mortgage First Mortgage Amount Amount Maturity Maturity Cost with Improvements Assessed Valne Third Mortgage Amount Maturity Fire Insurance Estimated Present Value Taxes aad Assessments D ue and Unpaid Yearly O paxtiag Expenses Yearly Gross Rental Income J£2T£e and Unpaid Yearly Net Rental (Before Depredation) - itle o f Real Estate. The legal and equitable title to all pieces of above described real estate is in my name solely, except as follows: ■>. 8. liability Insurance. Amount o f Coverage Expiration Dale Personal Injury, etc., v s o n a l Statu*. I am aged...... ......years, am murini, Property Damage have................... dependants, and reside at-......— a w idow (er) (A ddics*) c o m e a n d E x p e n se . M y gross income from all sources during the past year, beginning.......... ......................... ........... , 19___ and ending -------- -— ------------------ - 19— , amounted to $—------------------The personal living expenses of myself and dependents during this period lounted to $-------------------- - and I had other fixed expenses for insurance premiums, interest on debts, etc., o f $>.................... , I expect no tro •rtant changes in my income or expenses during the current year or next year, except as follows: m tin gen t L ia b ility . I have no contingent liabilities, as endorser, guarantor, or otherwise, except the follow ing: (Give details.) .its, Judgments and Other Legal Actions. I have outstanding o r pending against me no suits, judgments, or other legal actions and to : best o f my knowledge no legal actions are to be started against me, except as follow s: (Give details.) edge, Assignment, and Transfer o f Title o f Assets. As o f the date o f the statement of assets and liabilities, included in this financial .tement, I had not pledged, assigned, hypothecated, or transferred the title o f any o f my assets as listed above, except as noted in the various ledules o f this financial statement; and I have not since that date pledged, assigned, hypothecated, or transferred the title of any of my eta, except as follow s: (Give details.) I have carefully read the foregoing statements, and all printed and written matter therein, and hereby certify that all the ttements contained on both sides o f this sheet are known by me to be true and to give a correct showing o f my financial conLion, and that I bad no liabilities, direct, or contingent, business or accomodation, except as set forth in said complete statement, d that the legal and equitable title to all assets therein set forth is in my name solely, except as may be otherwise noted therein. Signed this. .day o f ... . - . ......... 19.... (Signature) FEDERAL RESERVE BAN K OF N EW YORK F o r m C R . 178-2M -10-50 ORDER CREDIT FORM FILE (C om m ercial) Date Federal Reserve Bank o f New York Federal Reserve P. O. Station New Y ork 45, New Y ork Gentlemen: Please ship us the follow ing: Q u a n tity .Folders— with fastener and section guides @ 10f* each (fastener in upper left corner o f folder) .Com parison Statement F orm CR. 173 (N o Charge) .Original History Sheet Form CR. 172 (N o Charge) .Continuing History Sheet F orm CR. 174 (N o Charge) .Credit M em o Pads Form CR. 177 @ 25^ a pad (100 sheets to a pad) FINANCIAL STATEMENT FORMS -Individual— Short F orm CR. 1 (N o Charge) -Individual— Long Form CR. 110 (N o Charge) -Firm— Short F orm CR. 9 (N o Charge) -Firm— Long F orm CR. 109 (N o Charge) -Corporation— Short F orm CR. 7 (N o Charge) -Corporation— L ong Form CR. 108 (N o Charge) Check One in Payment o f F o ld e r s :-------- Check e n clo s e d ;-------- Charge Reserve Account B A N K _____________________ ADDRESS- ( O fficial S ig n a t u r e ) C R I7 7 -S 0 M -1 2 -5 0 CREDIT MEMO F ed era l R eserve Bank o f N ew York Credit D epartm ent (T o be re c o rd e d in c re d it file) C h e ck one: D a t e _______________________ I I S ta r t c r e d it file a n d 1. I Copy NAM E- O r ig in a l L O C A T IO N - H is t o r y S h e e t O ff ic e r 's In itia l--------------------------- B U S IN E S S — Loan A m o u n t: H is t o r y S h e e t on C o n t in u in g $ R a te P la n f o r R e p a y m e n t: P u rp o se o f L o a n (sta te if r e n e w a l): E n d o rse rs o r S e c u rity : C R E D I T I N F O R M A T I O N : (B o r r o w e r's h on esty, e x p e rie n c e a n d p ro sp e c ts; inte rvie w s, visits to p la c e o f b usiness, etc.; re a rra n g e m e n t o f o r ig in a l lo a n term s.) ( C r e d it In fo rm a tio n c o n tin u e d o n re v e rse s id e ) Outline of Procedure Suggested For Establishment and Maintenance of A Simplified Credit File System For New Borrower 1. Original History Sheet should be prepared on all new borrowers. A. Loan officer should obtain information of the following general nature from the borrower during the initial interview. 1. 2. 34. Purpose of loan proceeds Proposed plan for repayment Proposed endorsements or security Previous business connections and experience of borrower's management 5. Nature and general method of borrower's operations and date of establishment of the business 6. Brief description of physical properties. B. The above information should be recorded on the Original History Sheet with a statement by loan officer as to: 1. 2. 3. C. Method of Recording 1. 2. 3. D. Character and ability of management Bank's previous experience with borrower, including whether it has been entirely satis factory or not Ability of borrower to meet proposed payment schedule and its prospects for future success ful operation. Direct dictation to stenographer Penciled memorandum or notes for subsequent transcription to History Sheet. In this connection the suggested form of Credit Memo may be of assistance Recording devices. Completed Original History Sheet should be inserted in folder under guide "Information" and folder labeled with name and address of borrower. 1. Folders need not be prepared on loans under a specified minimum amount. It is suggested, however, the above information be obtained, and recorded, on Original History Sheet which can be filed in a general or miscellaneous folder. 2 E. 2. A responsible clerk should be required to review the Discount Register daily for names of new borrowers and should check such names against files to ascertain whether Original History has been prepared on each new borrower. The names of new borrowers on whom Original History has not been prepared should be called to attention of loan officer. Comparative statement forms. A. At least one and preferably two financial statements as of com parable dates should be obtained prior to disbursing loan proceeds. 1. 2. 3. B. Transcribe figures to comparative form and analyze trends and financial condition. C. Place statements and comparative forms in folder under guide "Financial Statements" with comparison form on top and statements filed chronologically with latest statement on top. Correspondence A. 4. Check statements for accuracyReview statement with borrower and obtain his explanation for any unexplained items of consequence. All correspondence relative to credit matters concerning the borrower should be filed chronologically under guide "Correspondence". Maintenance of Continuing History Sheet as described below which should be filed in front of the Original History Sheet in the folder. ?or Borrowers with outstanding loans 1. Continuing History Sheets A. The substance of every conversation bearing on the borrower's credit standing should be recorded on this sheet. B. Questions to be asked of the borrower respecting conditions, prospects, or financial statements should be recorded on this sheet for easy reference. C. Comments with respect to the loans by examiners in reports of examination may be transcribed to this sheet. 3 2. Comparative forms A. At least two financial statements, if available, should be transcribed to comparative form as soon as possbile. 1. 3. Correspondence A. 4. Review and analyze condition and trends All correspondence should be filed chronologically under the guide "Correspondence". General A. Files should be easily accessible to loan officers. 1. Files should be reviewed at each interview with borrower. 2. Analysis of current condition of borrower should be made periodically by the loan officer and con clusions reported on Continuing History Sheet. 3- Action by Board or discount committee should be recorded on Continuing History Sheet. F e d e r a l R e s e rv e B a n k o f N ew Y o r k C O M P A R IS O N S T A T E M E N T NAME L O C A T IO N B U S IN E S S ASSETS C ash N o te s R eceiv a b le fr o m C u stom ers A c c o u n ts R eceiva b le — C u stom ers D a te M erch a n d ise o r In ven tories L ife Ins. — Cash S u rren der V alu e S ecu rities — R ead ily Saleable TO TA L CU RREN T ASSETS L and and B u ildin gs M ach ., E qu ip ., F u rn itu re & F ix tu re s In v e stm en ts — N o t R ea d ily Saleable M iscellan eous TOTAL L IA B IL IT IE S N o te s P a y a b le — B ank s N o te s P a y a b le — T rad e N o te s P a y a b le — O thers A cc o u n ts P a ya ble In te re st & O th er A ccru a ls T a x e s & A ssessm en ts P a ya ble C h a ttel M ortg a g es T O T A L C U R R E N T L IA B IL IT IE S R ea l E sta te M o rtg a g e s T O T A L L IA B IL IT IE S R e se rv e f o r D ep recia tion N e t W Orth (c a p ita l s to c k & s u r p lu s if c o r p o r a t io n ) TOTAL C ash and R eceiva b les T o ta l C u rren t A s s e ts T o ta l C u rren t D eb t E x c e ss o r D eficit o f C u rren t A ss e ts C on tin gen t L ia b ilities N e t Sales N e t P rofit o r L oss 19 19 19 19 19 '4 FED ER AL RESERVE B AN K F O R M C R ------------------- O F NEW YORK c o n t i n u i n g C r e d it B E N A M E L O C A T IO N ■TE B U S IN E S S http://fraser.stlouisfed.org/ IS M 1 2 - 8 0 Federal Reserve Bank of St. Louis B R IE F . H is t o r y s h e e t D e p a r t m e n t S T A T E E S S E N T IA L S O N L Y 2 FED ER AL RESERVE B AN K F O R M C R -------------------- OF NEW YORK O r ig in a l H is t o r y C r e d it s h e e t D epartm ent B E B R IE F . S T A T E E S S E N T IA L S O N L Y NAM E L O C A T IO N B U S IN E S S D A TE O F LO AN - LO AN AM O UNT- RATE- P U R P O S E O F LO AN PLAN FO R REPAYM EN T E N D O R S E R S O R S E C U R IT Y CREDIT INFORMATION E X P E R IE N C E A N D H O N ESTY OF BORROW ER! O U TLO O K FO R TH E B U S IN E S S . ETC.