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BBF53 form

BUSINESS BROKERS of FLORIDA	BBF
FINANCIAL STATEMENT - STRICTLY CONFIDENTIAL

Name:

Date:

Address:

City:

ST:

Zip:

Phone:

ASSETS

Cash on Hand in Banks:

U.S. Government Securities:

Accounts, Loans and Notes Receivable:

Cash Surrender Value of Life Insurance:

Value of Businesses Owned:

Other Stocks and Bonds:

Real Estate:

Automobiles - ( ):

Household Furnishings and Personal Effects:

Other Assets Itemized Below:

TOTAL ASSETS:

LIABILITIES

Notes Payable:

Liens on Real Estate:

Other Liabilities Itemized Below:

TOTAL LIABILITIES:

NETWORTH = TOTAL ASSETS MINUS TOTAL LIABILITIES:

SOURCES OF INCOME

Salary:

Dividends and Interest:

Bonus and Commissions:

Real Estate Income:

Other Income:

TOTAL INCOME:

It is understood that this information will be held in strict confidence by the Broker, its agents and officers.

The undersigned certifies that this information is true and correct.

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

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November 5, 2019 9:38 am EST

BBF53 form Uploaded by Office Manager - FloridaBizBroker@FloridaBizMax.com IP 72.208.177.122