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pdfFORM APPROVED
OMB No. 0575-0015
OMB No. 0572-0137
OMB No. 0575-0200
Exp. Date: 01/31/2022
Position 3
Form RD 442-3
(Rev. 3-97)
Name
BALANCE SHEET
Address
ASSETS
Month Day
CURRENT ASSETS
Current Year
1. Cash on hand in Banks
2. Time deposits and short-term investments
3. Accounts receivable
4. Less: Allowance for doubtful accounts
5. Inventories
6. Prepayments
7.
8.
9.
Total Current Assets (Add 1 through 8)
Year
Month Day
Prior Year
Year
(
) (
)
(
) (
)
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)
LIABILITIES AND 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.
27.
26.
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)
CERTIFIED CORRECT
Date
Appropriate Official (Signature)
RD 442-3 (Rev. 3-97)
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information
subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this
information collection is 0575-0015; 0572-0137, and 0575-0200. Public reporting for this collection of information is estimated to be approximately 1 hour per response, including the
time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, completing, and reviewing the collection of information. All responses to
this collection of information are voluntary. However, in order to obtain or retain a benefit, the information in this form is required by 7 CFR 1942-A, Community Facility Loans; 7 CFR
1782, Servicing of Water Programs Loans and Grants, and Section 1002 of the American Rescue Plan Act. Rural Development has no plans to publish information collected under the
provisions of this program. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to:
Information Collection Clearance Officer, Rural Development Innovation Center, Regulations Management Division at ICRMTRequests@usda.gov
File Type | application/pdf |
File Title | Balance Sheet |
File Modified | 2022-01-12 |
File Created | 2022-01-12 |