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Assets & Liabilites Statement - Borrower

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CREDIT CORPORATION FINANCE LIMITED

Personal Asset & Liability Statement (Individual statement required for each person)

of (name):

Assets (What I OWN) Liabilities (What I OWE)

Properties Mortgage over Properties


K (bank name) K
K K
K K
K K
K K
K K

Furniture Personal Loans


K K
K K
K K
K K

Vehicles Credit Card Limits & Balances


K Card Type / Bank Limit Balance
K K K
K K K
K K K
K K
Investments K
Shares K
Term Deposits K Loans from Other Sources
Debtors K K
Other Investments K K
K K
K
Personally Owned Equipment K
K K
K
K

Other Assets
K
K
K
K
K
K

TOTAL ASSETS K TOTAL LIABILITIES K


Declaration

Name of Borrower (Individual):

Address of Borrower: PO Box


Suburb / Village Province:

I certify that the information contained in the above Asset & Liability Statement is true and correct and accurately
discloses my correct financal position.

Signature of Borrowerr:

Date:

List of Properties
Address Cost Price Value Now Date Last Valued

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