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-25- <br />Page 4 <br />ASSETS <br />1. Cash -------------------------------------5 <br />2. Stocks and Bonds ------------------------- $ <br />i. Notes Receivable ------------------------- $ <br />4. Accounts Receivable (including bid <br />deposits and amounts accrued on <br />incompleted contracts) ------------------ $ <br />5. Accrued Interest -------------------------5 <br />6. Real Estate ------------------------------5 <br />7. Material Inventory ----------------------- 5 <br />8. Equipment (depreciated value) ------------ $ <br />9. Furniture .and Fixtures ------------------- $ <br />10. Other Assets ----------------------------- 5 <br />TOTAL ASSETS-----$ <br />1. NotesPayable ---------------------------- $ <br />2. Accounts Payable ------------------------- 5 <br />3. Mortgages Payable-----------------------5 <br />4. Other Liabilities-----------------------5 <br />5. Reserves --------------------------------- $ <br />6. Capital Stock ------------------------------5 <br />7. Surplus (net Worth) Earned -- <br />Unearned-- <br />$ <br />$ <br />LIABIITIES, CAPITAL AND SURPLUS ----- $ <br />Dated at this day of <br />By: <br />'Name of Organization) <br />, 1986. <br />Tit e <br />