SplusE.

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ASSETS/LIABILITIES
If you own real estate in addition to your personal residence, please attach a complete list of property
addresses /name(s) of Lender / Lenderʼs address and phone number / account numbers / monthly
payment / amount owed /estimated value & rental income.
Liabilities

Description Estimated Value Amount Owed Net Value

Personal Residence $0.00

Ex

Personal Property $0.00

Checking Accounts $0.00

am

Savings Accounts $0.00

IRA/401K/Keogh accounts $0.00

Stocks/ Bonds/CDs $0.00

pl

Cash Value of Life Insurance $0.00

e

$0.00
by

Total 0 0 $0.00

Expenses
Description Monthly Payment Balance Due Delinquent
jre

First Mortgage Lender Yes No

Yes No
ric

Other Mortgages / Liens/Rents

Alimony/Child Support Yes No
Homeowners Assoc. Dues Yes No
ks

Property Taxes (if not in payment) Yes No

Yes No
on

Homeownerʼs Insurance (if not in payment)

Health Insurance Yes No
Medical ([SHQVHV Yes No
.c

Child Care Yes No

o

Credit Card Yes No

m

Credit Card Installment Loans Yes No

Student Loans / Personal Loans Yes No
Auto Loan(s) Yes No
Auto Expenses / Gasoline/Insurance Yes No
Food / Household Supplies Yes No
Water / Sewer / Utilities / Phone/ Cable Yes No
Other Yes No
Submit Reset $0.00 $0.00