03-01-1984 Industrial Development Corporation Board of Directors Meeting (2)

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rs C•R hderal Rewne Rank of Della • • ~' PERSONAL FINANCIAL STATEMENT Name We S ley E . Fox To, Bank Address 15722 T.C. Jester Blvd. :ouston Texas 770b8 ( Q Ciry S,a,e Telephone `~1? ~ J~?-~~~~ Sales Business or Occupation Partner or ORicer in any other„KeOnture Are any assets pledged? 11VV Hare you ever made o composition settlement or taken bankruptcy? Explain- 1V0 For the purpose of procuring and maintaining credit from time to time in any form whatsoever with the above-named dank, for claims and demands against the undersigned, the undersigned submits the Following as being a true and accurate statement of its financial condition on the following date, and agrees shat if any change occurs that materially reduces the means or ability of the undersigned to pay all claims or demands against it, the undersigned will immediately and without delay notify the said Bank, and unless the Bank is so notified, it may continue to rely upon the statement herein given as a rue and accurate statement of the financial condition of the undersigned as of the close of bu:iness February 17 i9 ~4 ASSETS LIABILITIES AND NET WORTH Cash on Hand and in Banks (Schedule 1) I j_'-t ,_-+CJQ Notes Payable to Banks-Secured (Schedule 1) I j ?2 LC-C- U. S. Government Securities -C- Unsecured (Schedule 1) -C - Accounts, loons and Notes Receivable (Schedule 2) -(- ~ Notes Payable to Relatives -L- Cash Surrender Value life Insurance (Schedule 3) ~ „66 Accounts and Notes Payable to Others -~i'- Other Stocks and Bonds (Schedule 4) i 1? 6c Rents and Interest Due -C'- Real Estate (Schedule S) 2~ G(,:~ Taxes Due (Schedule 5) -G- Automobiles -Number (~ ) 2 s C C C% Liens on Real Estate (Schedule S) 14 1-(~ Other Assets (Itemize) 808 t __~ G~_ Other liabilities (Itemize) -L- C -2 < Beec tZra i t A/P 12 GOG i C,~S Pro it Sr:a ring 4 `_ ~G ' I r~A 4 Gr;G Maratron Profit Share 4 GC.! TOTAL IIABIIITIES 17 I' 141 NET WORTH 2GG 5 TOTAL ASSETS j"2~ "7-~rj L TOTAL LIABILITfES AND NET WORTH E17 s 72 INCOME CONTINGENT LIABILITIES Salary j As Endorser or Comaker j -li- Bonus and Commissions On Leases or Contracts - - Dividends and Interest Legal Claims - - Real Estate Income `~t Provision for Federal Income Tax Alimony child support or separate maintenance income need not be l E d d h Other Special Debf _ ~ _ revea e ~ you o not wis to have it considered os a basis for repaying an obligation. Alimony, child support, separate maintenance received under: ^ Court order ^ Written agreement ^ Gral understanding _ ~ _ Other _ G _ TOTAI INCOME j INSURANCE COVERAGE COMPARISON Of MONTNLT INCOME AND EXPENSES Fire Insurance -Buildings jl G L l.. ~_ Nef Monthly Income j _ Household ERecfs_and Autos G C L L Rent or Home Payment j ~~` liability Insurance-Automobiles Food and Utilifi~s () - Personal Incidentals ' General Public Avg. Amt. Paid on Open Accts. Other Insurance TOTAL EXPENSES j I n,eet:ocurF aerwcew ,urnuc •un ereeueee ~ e The federal Reserve Bank of Dallas does not warrant that this form meets current or future Federal Regulations. We urge you to consult with your bank's attorneys on future use of This form in ifs present format or your own revision. F-140.00130 (Rev g/80)