Page 6 of U-Save Rental Franchise Application by U-Save Car & Truck Rental

u-save auto rental of america inc business financial statement please type or print and attach a copy of your most current income stmt/balance sheet along with a copy of your yearend profit and loss statement/balance sheet statement of street address financial statement as of city and state assets cash in banks cash on hand accounts receivable notes receivable loans receivable accounts and notes receivable from officers partners and employees mechandise receivables secured by real estate receivables secured by mortgages receivables secured by deeds of trust machinery tools furniture fixtures notes and accounts receivables from affiliated companies other assets describe accounts payable liabilities notes payable on merchandise other notes payable borrowed from banks secured borrowed from banks unsecured borrowed from others please list income taxes due on last year s profits and accrued on current profits other liabilities or accruals describe mortgages on real estate describe other mortgages liens security interests or encumbrances describe total liabilities net worth total assets if any of the above have been pledged give details amount to whom description total liabilities net worth if incorporated or licensed in what state when formed authorized capital subscribed capital paid in cash paid otherwise how paid description and location of real estate listed in financial statement titles held in name of cost plus improvements present market value amount of mortgages how payable total assets must equal total liabilities net worth the undersigned herby authorized u-save auto rental of america inc to obtain and exchange credit data warrants that all information is true and accurate and was taken from the books and records of the above named business as of the date below signature spouse s signature date signed date signed

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