Applicant’s Name _______________________ SUGGESTED FORMAT OMB No. 3245-0017
SCHEDULE OF LIABILITIES
(Notes, Mortgages and Accounts Payable)
Date of Schedule____________________
Original Original Current Current or Maturity
date
Payment How
Name of Creditor amount date balance delinquent? amount
(Month- Year)
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 (11-01)