BUYER FINANCIAL PROFILE
Net Worth Statement: Personal Data:
Assets Name
Cash in US Banks $ -
US Govt Securities $ - Street:
Accounts Receivable $ -
Notes Receivable $ - City
Cash Surrender Value of Life Insurance $ -
Stocks and Bonds $ - State:
401k and IRAs $ -
Real Estate $ - Zip:
Automobiles $ -
Household Furnishing/Personal Effects $ -
Other Assets (Please itemize) $ -
$ -
$ - Signature:
$ -
$ - Date:
TOTAL ASSETS $ -
Liabilities
Notes Payable $ -
Liens on Real Estate $ - INCOME SOURCES
Auto Loans $ -
Student Loans $ -
Other Liabilities (please itemize) $ - Salary $ -
$ - Dividends and Interest $ -
$ - Bonus and Commissions $ -
$ - Real Estate Income $ -
$ - Other Income $ -
TOTAL LIABILITIES $ - Total Income: $ -
NET WORTH $ -
email: mark@crumblish.com private fax: 214.317.4808