Date of Schedule
Name of Creditor
Original
amount
Original
date
Current
balance
Current or
Delinquent?
Maturity
date
Payment
amount
(Month-Year)
How secured
SCHEDULE OF LIABILITIES
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.
Applicant's Name
(Notes, Mortgages and Accounts Payable)
Signed
Title
SBA Form 2202 (10-15)