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					                                                                               Financial Statement
                                                                                              CONFIDENTIAL
PERSONAL FOR:            Wilmington Financial Group                                           Please type in the Tan boxes
See Financial Statement Notice attached                                                       Red Areas auto populated; do not fill in.
SECTION 1 - PERSONAL INFORMATION                                                              SECTION 2 - CORPORATE/EMPLOYMENT INFORMATION
Name                                                                                          Business/Employer Name
Residence Address                                                                             Business Address
City,State,Zip                                                                                City,State,Zip
Phone                                                                                         Phone
DOB                                                                                           Formed Date
SSN                                                                                           Tax ID


SECTION 3 - INCOME                                                                            SECTION 4 - PERSONAL INFORMATION
INCOME                                   2009              2010                YTD                                                  PERSONAL INFORMATION
Salary, Bonuses, Commissions         $                 $                   $                  Do you have a will? If so, provide name of executor.
Dividends / Interest                 $                 $                   $
Real Estate Income                   $                 $                   $                  Are you a partner, owner or officer in any other venture? If so, describe.
Other Income                         $                 $                   $
Other Income                         $                 $                   $                  Are any assets pledged other than as described on schedules? If so, describe
AVERAGE          $0                               $0                  $0                 $0
OTHER DEBTS                                            MONTHLY             BALANCE            Are you a defendant in any suits or legal actions?
Contingent liabilities?                                $                   $                  Have you ever been bankrupt? If so, when? and describe
Endorser, Co-maker or Guarantor                        $                   $
Leases or contracts                                    $                   $                                                CORPORATE INFORMATION
Legal Claims                                           $                   $                  Has the company ever filed bankruptcy?
Alimony, Child support, or Separate Maintenance        $                   $
Tax Liens (Personal & Corp)                            $                   $                  Is the business party to a lawsuit? If so, describe
                                     TOTAL                            $0                 $0



ASSET SNAPSHOT                       In Dollars                                               LIABILITIES SNAPSHOT                                  In Dollars
Schedule A       REO                              $0                                          Schedule A                    REO                                   $0

Schedule B       Assets                           $0                                          Schedule C                    Revolving Debt                        $0

Schedule D       Personal Property                $0                                          Schedule D                    Installment Debt                      $0

Schedule E       Business Venture                 $0

Schedule F       Insurance                        $0

                                                                                              TOTAL LIABILITIES                                                   $0
TOTAL ASSETS                                      $0                                          NET WORTH                                                           $0



                                         ATTACH SEPARATE SCHEDULES IF NECESSARY
SCHEDULE A - REAL ESTATE (Residential, Commercial, Land, Lots, Farms, etc.)
Address & Zip Code                       Titled            Type of         Orig. Price            Investment Property          Present                 Mortgage        Mortgage company holder
Type of Property                                           Property        Year Acq.                 Rent Received            Market Value             Balance         Payment
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                           $
                                                                                                                                                                                       Per Month
                                                                                              TOTAL                                          $0                   $0                $0 Per Month
                                                                    Financial Statement
SCHEDULE B - ASSETS (Checking, Savings, Stocks, 401k, Roth, IRA, Bonds, CD, Mutual Funds, Pensions, Trusts)
No. Shares or                                                                                           Amount at which                   Present                      L-Listed
Bond Amount                   Description                        Title in Name Of                       Carried on this                  Market Value                  U-Unlisted
                                                                                                          Statement




                                                                                TOTAL                                  $0                                         $0

SCHEDULE C - Revolving Debts (Credit Cards and non-real estate lines of credit)
                                                Collateral Pledged as Security or                                                                  Personal or
            Name of Bank                        Name of Co-Maker or Endorser                            Payment             Balance                Business




                                                                                TOTAL                   $          -        $             -

SCHEDULE D - Installment Debts (Auto loans, Personal loans, etc.)
                                                                                                                                                   Personal or
        Name of Creditor                                   Collateral                                   Payment             Balance                Business            Value




                                                                                TOTAL                   $          -        $             -                            $            -

SCHEDULE E - BUSINESS VENTURES (Enterprises, Sole Proprietorships, C & S-Corps, LLCs, & Partnerships)
Name                              Type of Business             Experience               Gross Value     Annual Revenue      Debt                   % Ownership         Net Value
                                                                                                                                                                                        $0
                                                                                                                                                                                        $0
                                                                                                                                                                                        $0
                                                                                                                                                                                        $0
                                                                                                                                                                                        $0
                                                                                                                                                                                        $0
                                                                                TOTAL                                  $0                     $0                                        $0

SCHEDULE F - INSURANCE (Term, Whole Life, Annuity, etc)
                  Insurance Company                          Insured                      Beneficiary                       Face Value             Policy Loans        Cash Value




                                                                                TOTAL                                       $             -                            $            -




Signature                                                      Date Signed


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