CURRENT ASSETS CURRENT LIABILITIES VALUE VALUE Cash CROPS BU/LB OPERATING - OTHER ACCOUNTS PAYABLE BU/LB $0 $0 $0 $0 FEED TOTAL FEED & CROPS LIVESTOCK - 2 & Under $0 $0 $0 $0 $0 # OF HD WT PRICE/LB $0 $0 $0 $0 $0 $0 $0 LIVESTOCK - 2 & Over #HD $/HD. INTEREST - OPERATING INTEREST - INTERM DEBT INTEREST - LT DEBT $0 $0 CURR POR - INTERM DEBT CURR POR - LT DEBT OTHER CURRENT LIABILITIES $0 TOTAL CURRENT LIAB $0 $0 $0 $0 $0 $0 $0 TOTAL LIVESTOCK RATE INTERMEDIATE LIABILITIES P&I PYMT $0 TOTAL CURRENT ASSETS INTERMEDIATE ASSETS Vehicles Machinery TOTAL INTERMEDIATE ASSETS LONG TERM ASSETS ACRES Ag Land CCC - LOAN LESS CURRENT PORTION TOTAL INTERM LIABLITIES $0 $0 $0 $0 $0 LONG TERM LIABILITIES $/ACRE TOTAL LONG TERM ASSETS $0 $0 $0 $0 $0 TOTAL ASSETS $0 LESS CURRENT PORTION TOTAL LONG TERM LIAB TOTAL LIABILITIES NET WORTH Current Ratio Deb/Worth Ratio Total Animal Units Debt Per AU - SSB Debt Debt Per AU - All Debt $0 $0 $0 $0 $0 $0 Total Current Assets / Liab TOTAL LIAB / NET WORTH TOTAL LIAB / TAU Have you ever been adjudged in a bankruptcy? Judgements or suits pending against me at this time. Life Insurance Value: I have resided at the present location for how long? DOB: SSN: Cell Phone #: THIS INFORMATION AND THE INFORMATION PROVIDED ON ALL ACCOMPANYING FINANCIAL STATEMENTS AND SCHEDULES IS PROVIDED FOR THE PURPOSE OF OBTAINING CREDIT FOR THE APPLICANT(S) OR FOR THE PURPOSE OF THE APPLICANT(S) GUARANTEEING CREDIT FOR OTHERS. APPLICANT(S) ACKNOW LEDGE THAT REPRESENTATIONS MADE IN THIS STATEMENT WILL BE RELIED ON BY CREDITOR IN ITS DECISION TO GRANT SUCH CREDIT. THIS STATEMENT IS TRUE AND CORRECT IN EVERY DETAIL AND ACCURATELY REPRESENTS THE FINANCIAL CONDITION OF THE APPLICANT ON THE DATE GIVEN BELOW. CREDITOR IS AUTHORIZED TO MAKE ALL INQUIRES IT DEEMS NECESSARY TO VERIFY THE ACCURACY OF THE INFORMATION CONTAINED HEREIN AND TO DETERMINE THE CREDITWORTHINESS OF THE APPLICANT. BY SIGNING BELOW , EACH APPLICANT DECLARES THAT HE/SHE HAS READ AND UNDERSTANDS THE STATEMENT ABOVE. SIGNATURE DATE SIGNATURE DATE Machinery List ARTICLE TOTAL LESS ASSETS NOT HELD AS COLLATERAL COLLATERAL VALUE OF MACHINERY YEAR MAKE VALUE Year: VALUE Year: $0.00 $0.00 VALUE Year: $0.00 - $0.00 $0.00 - $0.00 - Cash Flow PLANNED INCOME CROPS ACRES YIELD KEEP SALE $ # TOTAL CROPS ACRES YIELD KEEP SALE 0.00 TOTAL 0 TOTAL LIVESTOCK ACTUAL INCOME YIELD KEEP SALE @ TOTAL LIVESTOCK $ 0 # TOTAL 0.00 YIELD KEEP SALE @ TOTAL Raised Calves Bred Cows Open Cows Bulls TOTAL 0 TOTAL CROPS AND LIVESTOCK SALES NAME: 0.00 TOTAL 0 0.00 TOTAL CROPS AND LIVESTOCK SALES 0.00 0.00 Cash Flow 2 PLANNED EXPENSES PLANNED INCOME PLANNED ACTUAL Hired Labor Machinery Repair Building & Fence Repair Rent Feed Seed Chemical Supplies Vet Machine Hire Fuel & Oil Taxes & Legal Insurance Trucking Utilities Living Expenses Misc. Expenses Bulls TOTAL TOTAL DEBT REPAYMENT TOTAL CASH FLOW Name: PLANNED Livestock Crops Non-Farm Income Government payments Operating Loan Cash Carryover Hunting PLANNED ACTUAL ACTUAL