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PERSONAL FINANCIAL STATEMENT prepared for Dorian Rothschild on April 18, 2012

Name Address Home Phone SSN Birthdate Dorian Rothschild 60 Arthur St. San Rafael, CA 94901 415 456-1234 123-45-6789 April 19, 1985

This statement is prepared to be attached to a loan application.

DETAILED LISTING OF ASSETS Checking Accounts: Bank/Financial Institution Redwood Bank Bear Bank

Account No. 123456 321456

Balance
$10,000.00 $4,300.00

Total Checking Accounts

$14,300.00

Savings Accounts: Bank/Financial Institution Redwood Bank Otter Bank

Account No. 123456 919234

Balance
$36,450.00 $28,000.00

Total Savings Accounts

$64,450.00

Household Goods/Furnishings: Description dining table beige leather furniture set master bed office desk

Value
$2,700.00 $9,400.00 $2,400.00 $550.00

Total Household Goods/Furnishings


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$15,050.00

Jewelry: Description wedding ring wedding ring other various jewelry

Value
Spouse You Spouse

Total Value of Jewelry

$20,500.00

Vehicles: Make Toyota Honda

Model and Year Carollo 2004 Civic 2009

Value
$11,500.00 $16,000.00

Total Value of Vehicles

$27,500.00

Recreational Equipment: Description downhill skis 2 yamaha jet skis

Value
$900.00 $7,600.00

Total Value of Equipment

$8,500.00

Stocks and Mutual Funds: Description 100 shares of Polysoft stock 1200 shares Rubicon Law Firm stock

Value
$1,100.00 $9,000.00

Total Value of Stocks and Mutual Funds

$10,100.00

Retirement Plans: Name and Type of Plan Iris Plan 401k Gina Pension Plan

Value
$23,400.00 $18,500.00

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Total Value of Retirement Plans

$41,900.00

TOTAL ASSETS:

Total Assets

$202,300.00

DETAILED LISTING OF LIABILITIES Mortgages - Personal Residence: Lender Loan No. Ellison Financial Services Inc 1234546

Monthly Payment
$1,980.00

Balance Due
$210,000.00

Total Personal Residence Mortgages

$210,000.00

Vehicle Loans: Lender Redwood Bank Redwood Bank

Loan No. 19884 19423

Monthly Payment
$450.00 $490.00

Balance Due
$3,200.00 $9,875.00

_____________ Total Vehicle Loans


$13,075.00

Credit Card Debt: Company Redwood Bank

Acct. No. 1993455

Monthly Payment
$85.00

Balance Due
$650.00

Total Credit Card Debt

$650.00

Student Loans: Lender Loan No. Morrison & Partners 19877632

Monthly Payment
$350.00

Balance Due
$27,500.00

Total Student Loans

$27,500.00

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TOTAL LIABILITIES:

Total Liabilities NET WORTH:

$251,225.00 $-48,925.00

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SUMMARY LISTING OF ASSETS AND LIABILITIES ASSETS Checking Accts Savings Accts Household Goods Jewelry Vehicles Recreational Equip. Stocks/Mutual Funds Retirement Plans Amount
$14,300.00 $64,450.00 $15,050.00 $20,500.00 $27,500.00 $8,500.00 $10,100.00 $41,900.00

_____________ TOTAL ASSETS:


$202,300.00

LIABILITIES Pers. Residence Vehicle Loan Credit Card Debt Student Loans

Amount
$210,000.00 $13,075.00 $650.00 $27,500.00

_____________ TOTAL LIABILITIES: COMBINED NET WORTH:


$251,225.00 $-48,925.00

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SOURCES OF MONTHLY INCOME: Salaries and Wages: Employer RL Electronics Brookside Elementary School Dorian Rothschild's Total Monthly Wages Investment Accounts Trusts Other Sources TOTAL MONTHLY INCOME MONTHLY EXPENSES: Child Care Food Health Care/Medication Utilities Housing/Rent Other Mortgage Loans Auto Loans Auto Insurance Other Insurance Credit Cards Student Loans Other Expenses (including clothing, recreation, misc.) TOTAL MONTHLY EXPENSES

Annual Wages
$93,600.00 $45,000.00

Monthly Wages
$7,800.00 $3,750.00 $7,800.00 $0.00 $0.00 $0.00

_____________
$11,550.00

$0.00 $1,200.00 $600.00 $420.00 $1,980.00 $0.00 $940.00 $845.00 $0.00 $85.00 $350.00 $0.00

_____________
$6,420.00

I certify and warrant that to the best of my knowledge the information contained in this Personal Financial Statement is true, correct and complete.

__________________________________________ Dorian Rothschild

__________________________________________ Date

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