SECTION III - FINANCIAL STATEMENTS
Prepared Financial Statements with notes may be provided in lieu of completing Section III
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Cash
Accounts payable
Short Term cash investments
Notes payable (current)
Current portion of long term debt
Accounts receivable, less allowance for
doubtful accounts of $
Accrued expenses
Accrued taxes on income/excess profits
Other current assets (Itemize below)
Other current liabilities (Itemize)
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Land
Mortgages
Buildings and equipment
Bonds
Leasehold improvements
Deferred income taxes
Other long term debt
Less accumulated depreciation and
amortization
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Investments in and advance to affiliated
company
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Goodwill, less amortization
Preferred stock
Due from officer, employee
Common stock
Other (Itemize)
Additional paid-in capital
Retained earnings/owner's equity
Less, Treasury stock
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Minority Interest in Earnings of
Subsidaries
Cost and Expenses
Cost of Goods Sold
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Depreciation and Amoritzation
Selling, General, and Admin. Expenses
Earnings Before Taxes
Taxes on Income
Interest Expense
Other Expenses (Itemize)
Income Before Extraordinary Items
Extraordinary Gains (Losses) Net of Taxes
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