RD 442-3 Balance Sheet

Position 3

Form RD 442-3
(Rev. 3-97)

FORM APPROVED
OMB No. 0575-0015
OMB No. 0570-NEW

Name

BALAN C E S H E E T

Address

ASSETS
CURRENT ASSETS
1. Cash on hand in Banks .....................................................................................
2. Time deposits and short-term investments ......................................................
3. Accounts receiveable .......................................................................................
4.
Less: Allowance for doubtful accounts ...................................................
5. Inventories .......................................................................................................
6. Prepayments .....................................................................................................
7. _______________________________________________ ......................
8. _______________________________________________ ......................
9.
Total Current Assets (Add 1 through 8) ..................................................
FIXED ASSETS
10. Land .................................................................................................................
11. Buildings ..........................................................................................................
12 Furniture and equipment ..................................................................................
13. _______________________________________________ ......................
14.
Less: Accumulated depreciation ..............................................................
15. Net Total Fixed Assets (Add 10 through 14) ...................................................
OTHER ASSETS
16. _______________________________________________ ......................
17. _______________________________________________ ......................
18.
Total Assets (Add 9, 15, 16 and 17) ..........................................................

_____ _____ _____

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Month Day Year
Current Year

Month Day Year
Prior Year

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LIABILITIESAND EQUITIES
CURRENT LIABILITIES
19. Accounts payable ............................................................................................ ______________________________________
20. Notes payable .................................................................................................. ______________________________________
21. Current portion of USDA note ......................................................................... ______________________________________
22. Customer deposits ........................................................................................... ______________________________________
23. Taxes payable ................................................................................................... ______________________________________
24. Interest payable ................................................................................................ ______________________________________
25. _______________________________________________ ...................... ______________________________________
26. _______________________________________________ ...................... ______________________________________
27.
Total Current Liabilities (Add 19 through 26) .......................................... ______________________________________
LONG-TERM LIABILITIES
28. Notes payable USDA ....................................................................................... ______________________________________
29. _______________________________________________ ...................... ______________________________________
30. _______________________________________________ ...................... ______________________________________
31.
Total Long-Term Liabilities (Add 28 through 30) .................................... ______________________________________
32.
Total Liabilities (Add 27 and 31) ............................................................. ______________________________________
EQUITY
33. Retained earnings ............................................................................................. ______________________________________
34. Memberships .................................................................................................... ______________________________________
35.
Total Equity (Add lines 33 and 34) .......................................................... ______________________________________
36.
Total Liabilities and Equity (Add lines 32 and 35) .................................. ______________________________________
Date
Appropriate Official (Signature)
CERTIFIED CORRECT
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0570-0015. The time required to complete this information is estimated to average 1 hour per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

RD 442-3 (Rev. 3-97)