Applicant’s Name _______________________ SUGGESTED FORMAT
SCHEDULE OF LIABILITIES
(Notes, Mortgages and Accounts Payable)
Date of Schedule____________________
Name of Creditor
Original
amount
Original
date
Current
balance
Current or
delinquent?
Maturity
date
Payment
amount
(Month- Year)
How
Secured
_________________________________________
Signed
This form is provided for your convenience in responding to filing requirements in
Item 2 on the application, SBA Form 5. You may use your own form if you prefer.
The information contained in this schedule is a supplement to your balance
sheet and should balance to the liabilities presented on that form.
_________________________________________
Title
SBA Form 2202 (10-15)
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signature
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