CDCSW / SBA 504 LOAN APPLICATION AS OF 01-01-2017
PERSONAL CASH FLOW STATEMENT (MONTHLY)
NAME: ______________________________________________________________________
INCOME:
Net Monthly Income (after taxes) $_____________
Bonus and Commission _____________
Interest and Dividends _____________
Rents _____________
Royalties _____________
Total Other (detail on a separate
page if necessary _____________
TOTAL INCOME $_____________
EXPENSE:
Mortgage Payment (P&I) Rent $_____________
Other Loan Payments _____________
_____________
_____________
Credit Card Payments _____________
Food _____________
Utilities _____________
Telephone _____________
Gasoline _____________
Car Maintenance _____________
Insurance (i.e., Life, Car, Property) _____________
Charitable Contributions _____________
Travel Expenses _____________
School Expenses _____________
Clothing Expenses _____________
Child Care _____________
Entertainment _____________
Child Support _____________
Savings _____________
Business Expenses _____________
Total Other (detail on a separate _____________
page if necessary)
TOTAL EXPENSES $_____________
CASH FLOW SURPLUS (Deficit) $_____________
I am the Co-Maker, endorser, or guarantor on the following loans and obligations:
Description of Contingent Loans Balance/Payment To Whom Owed
____________________________ _______________ __________________
____________________________ _______________ __________________
I/We certify that the information contained herein is true, correct, and complete to the best of my/our knowledge:
Signed: _________________________________ Date: _________________________
_________________________________
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