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["PLEASE FILL OUT EVERYTHING SHADED IN YELLOW",null,null,null,"INDIVDUAL",null,null,null,"PLEASE FILL OUT EVERYTHING SHADED IN YELLOW"]
[null,null,null,null,"JOINT","  __",null,"DATE:"]
["FINANCIAL STATEMENT - INDIVIDUAL",null,null,null," "]
["TO FINANCIAL INSTITUTION NAMED:",null,null,null,"NAME OF INDIVIDUAL:",null,null,null,"SCHEDULE C:                                         NOTES AND LOANS RECEIVABLE AND OTHER ACCOUNTS DUE ME"]
[" ","First National Bank & Trust Co. of McAlester",null,null,null,null,null,null,"ORIGINAL AMOUNT","DUE FROM",null,null,null,null,"BALANCE OWING",null,null,null,"PAYMENT SCHEDULE",null,null,null,"MATURITY",null,null,null,"COLLATERAL"]
[null,"235 E Choctaw Ave"]
[null,"PO BOX 948"]
[null,"Mcalester, OK 74501"]
["MEMBER FDIC"]
["HOME ADDRESS",null,null,null,"HOME PHONE","SOCIAL SECURITY NUMBER",null,"DATE OF BIRTH",null,"TOTAL",null,null,null,null,{"$f":"SUM(O6:R8)","v":0}]
[null,null,null,null,null,null,null,null,"SCHEDULE D:                                                                                            STOCKS AND BONDS"]
["EMPLOYER NAME AND ADDRESS",null,null,null,"OFFICE PHONE","POSITION/TITLE",null,"YEARS EMPLOYED","ISSUING COMPANY",null,"REGISTERED IN NAME OF:",null,null,null,null,"NO OF SHARES",null,null,"VALUE",null,null,null,null,null,null,"IF PLEDGED, TO WHOM?",null,null,"WHERE TRADED"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"OR FACE AMT",null,null,"Per Share",null,null,"Total"]
["ASSETS",null,null,null,"LIABILITIES"]
["Cash in This Financial Institution (Schedule A )",null,{"$f":"SUM(G55)","v":0},null,"Notes Payable to Financial Institutions (Schedule G)",null,null,{"$f":"M40","v":0}]
["Cash in Other Financial Institutions (Schedule A)",null,{"$f":"SUM(G61)","v":0},null,"Other Notes and Accounts Payable (Schedule G)",null,null,{"$f":"SUM(M40)","v":0}]
["Money Market Accounts (Schedule A)",null,{"$f":"SUM(G66)","v":0},null,"Loans Secured by Real Estate (Schedule F)",null,null,{"$f":"SUM(AB30)","v":0},null,null,null,null,null,null,null,"TOTAL",null,null,null,null,null,{"$f":"SUM(V14:Y16)","v":0}]
["Notes and Loans Receivable (Schedule C)",null,{"$f":"O10","v":0},null,"Life Insurance Policy Loans (Schedule E)",null,null,{"$f":"SUM(AC23)","v":0},"SCHEDULE E:                                                                                            LIFE INSURANCE"]
["Other Accounts Due Me (Schedule C)",null,{"$f":"SUM(O10)","v":0},null,"Taxes (Federal, State, Local) Due and Unpaid",null,null,null,"INSURANCE COMPANY","POLICY NUMBER",null,null,"POLICY OWNER",null,null,"BENEFICIARY",null,null,null,"TYPE OF POLICY",null,null,null,"FACE AMOUNT",null,null,null,"CASH VALUE","LOAN AGAINST POLICY"]
["Stocks and Bonds - Marketable (Schedule D)",null,{"$f":"V17","v":0},null,"Credit Card Indebtedness",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," "," "]
["Other Stocks and Bonds (Schedule D)",null,{"$f":"SUM(V17)","v":0},null,"Due to Brokers in Margin Accounts"]
["Partnership and Proprietorship Interests (Schedule B)",null,{"$f":"SUM(F73)","v":0}]
["Cash Surrender Value Life Insurance (Schedule E)",null,{"$f":"SUM(AB23)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TOTAL",null,null,null,{"$f":"SUM(AB20:AB22)","v":0},{"$f":"SUM(AC20:AD22)","v":0}]
["Real Estate Owned (Schedule F)",null,{"$f":"SUM(O30)","v":0},null,null,null,null,null,"SCHEDULE F:                                                                         REAL ESTATE (Indicate by X Homestead)"]
["Vested Pension/Retirement/IRA/Keough Plans (Schedule H)",null,{"$f":"SUM(Q47)","v":0},null,null,null,null,null,"LOCATION and DESCRIPTION",null,"X","ORIGINAL COST",null,null,"MARKET VALUE",null,null,"MO. INCOME",null,null,"MORTGAGE PAYABLE TO:",null,null,null,null,null,null,"MORTGAGE AMT",null,"PER MONTH"]
["Assets Owed Against",null,{"$f":"SUM(AD40)","v":0},null," "]
["Other Personal Assets (Schedule I)",null,{"$f":"SUM(AD47)","v":0},null,"TOTAL LIABILITIES",null,null,{"$f":"SUM(H15:H26)","v":0}]
[null,null,null,null,"NET WORTH",null,null,{"$f":"SUM(C29 - H27)","v":0}]
["TOTAL ASSETS",null,{"$f":"SUM(C15:D28)","v":0},null,"TOTAL LIABILITIES and NET WORTH",null,null,{"$f":"SUM(H27:H28)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,"TOTAL",null,null,{"$f":"SUM(O26:Q29)","v":0},null,null,null,null,null,"TOTAL",null,null,null,null,null,null,{"$f":"SUM(AB26:AC29)","v":0}]
["INCOME AND EXPENSES for year ending___________",null,null,null,null,null,null,null,"SHCEDULE G:                                       NOTES AND ACCOUNTS PAYABLE TO FINANCIAL INSTITUTIONS AND OTHERS"]
["Salaries, Wages, Commissions and Bonuses",null,null,null,"Interest Paid",null,null,null,"DUE TO WHOM",null,null,null,"AMOUNT",null,null,"HOW PAYABLE",null,null,null,"MATURITY",null,null,null,"COLLATERAL PLEDGED",null,null,null,null,null,"COLLATERAL VALUE"]
["Interest and Dividends",null,null,null,"Rent Paid"]
["Business and Partnership Income",null,null,null,"Federal and State Income Taxes"]
["Rentals",null,null,null,"Other Taxes"]
["Income from Estates and Trusts",null,null,null,"Alimony, Child Support, Separate Maintenance Paid"]
["Pensions, Annuities, Retirement, and Social Security"]
["Other"]
[]
["TOTAL ALL INCOME",null,{"$f":"SUM(C32:D39)","v":0},null,"TOTAL",null,null,{"$f":"SUM(H32:H39)","v":0},"TOTAL",null,null,null,{"$f":"SUM(M33:O39)","v":0},null,null,null,null,null,null,null,null,null,null,"TOTAL",null,null,null,null,null,{"$f":"SUM(AD33:AD39)","v":0}]
["Federal Income Tax Return has been Filed Through ",null,null,null,null,null,null,null,"SCHEDULE H:             VESTED PENSIONS, RETIREMENT FUNDS, IRA, KEOUGH",null,null,null,null,null,null,null,null,null,null,null,"SCHEDULE I:                          OTHER PERSONAL ASSETS"]
[null,null,null,null,null,null,null,null,"DESCRIPTION",null,null,null,null,null,null,null,"AMOUNT",null,null,null,"DESCRIPTION",null,null,null,null,null,null,null,null,"AMOUNT"]
["CONTIGENT LIABILITIES",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,null,null," "]
["NATURE OF LIABILITY",null,"DESCRIPTION",null,null,null,"AMOUNT"]
["Liabilities as Endorser, Co-Maker or Guarantor"]
["Liabilities on Leases and Contracts"]
["Liabilities on Letters of Credit",null,null,null,null,null,null,null,"TOTAL",null,null,null,null,null,null,null,{"$f":"SUM(Q43:T46)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AD43:AD46)","v":0}]
["Contested Tax Liens",null,null,null,null,null,null,null,"SCHEDULE J:                                                         BUSINESS IN WHICH UNDERSIGNED IS A PRINCIPAL OR PARTNER"]
["Involvement in Pending Legal Actions, Claims, Judgements, etc.",null,null,null,null,null,null,null,"NAME AND ADDRESS OF BUSINESS",null,null,null,"TYPE OF BUSINESS",null,null,null,"% OWNERSHIP",null,null,null,"POSITION/TITLE",null,null,null,"FINANCIAL INSTITUTION OF ACCOUNT"]
[]
["SCHEDULE A:                                                           CASH IN FINANCIAL INSTITUTIONS AND MONEY MARKET ACCOUNTS"]
["NAME OF FINANCIAL INSTITUION","ACCOUNT IN NAME OF:",null,"TYPE OF ACCOUNT",null,"ACCOUNT NUMBER","CURRENT BALANCE"]
["First National Bank of McAlester",null,null,"Checking/Savings"]
["First National Bank of McAlester",null,null,"Checking/Savings"]
[null,null,null,null,null,"TOTAL",{"$f":"SUM(G53:H54)","v":0},null,"Has Undersigned executed a will disposing of estate in event of death? ",null,null,null,null,null,null,null,null,null,null,null,"YES  OR   NO",null,null,null,"If yes, name of Executor"]
[null,null,null,"Checking/Savings",null,null,null,null,"Has Undersigned made an assignment for benefit of creditors or been involved in bankruptcy proceedings during the past ten years?  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  YES  OR  NO"]
[null," ",null,"Checking/Savings",null,null,null,null,"        If yes, please state details: "]
[null," ",null,"Checking/Savings",null,null,null,null,"Marital Status (Do not complete if applying for individual unsecured credit):"]
[null," ",null,"Checking/Savings",null,null,null,null,"Married",null,"Separated",null,null,null,null,null,"Unmarried",null,null,null,"Number of Dependents"]
[null," ",null,"Checking/Savings",null,null,null,null,"SIGNATURES"]
[null,null,null,null,null,"TOTAL",{"$f":"SUM(G56:H60)","v":0},null,"This Financial Statement, supporting schedules and information are submitted by the Undersigned to the herein named Financial Institution for the "]
[null,null,null,"Money Market",null,null," ",null,"purpose of establishing, obtaining, or maintaining credit. It is true, complete, and corret representation of the Undersigned's financial condition"]
[null,null,null,"Money Market",null,null,null,null,"as of the date shown above. The Financial Institution is authorized by the Undersigned to check credit and employment history, to verify the "]
[null,null,null,"Money Market",null,null,null,null,"accuracy of the information contained herein, and to answer questions about its credit experience with the Undersigned."]
[null,null,null,"Money Market"]
[null,null,null,null,null,"TOTAL",{"$f":"SUM(G62:H65)","v":0}]
["SCHEDULE B:                                                                            PARTNERSHIP AND PROPRIETORSHIP INTERESTS",null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
["NAME OF PARTNERSHIP OR PROPRIETORSHIP",null,"% OWNERSHIP",null,"ORIGINAL COST","PRESENT VALUE","IF PLEDGED, TO WHOM?"]
[null,null,null,null,null,null,null,null,"SIGNATURE",null,null,null,null,null,null,"DATE",null,null,null,null,"WITNESS"]
[]
[]
[null,null,null,null,null,null,null,null,"SIGNATURE",null,null,null,null,null,null,"DATE",null,null,null,null,"WITNESS"]
["TOTAL",null,null,null,{"$f":"SUM(E69:E72)","v":0},{"$f":"SUM(F69:F72)","v":0}]

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