Get the legal form you need right now

Schedule of Collateral Exhibit A (United States)

This is a Small Business Administration (SBA) schedule of collateral for a loan. The form provided here is simply a sample of what the actual form looks like.

U.S. SMALL BUSINESS ADMINISTRATION

OMB Approval No.: 3245-0016
Expiration Date: 06-30-99

SCHEDULE OF COLLATERAL
Exhibit A

Applicant ________________________

Street Address ________________________

City ________________________

State ________________________

Zip Code ________________________

LIST ALL COLLATERAL TO BE USED AS SECURITY FOR THIS LOAN


SECTION I - REAL ESTATE

Attach a copy of the deed(s) containing a full legal description of the land and show the location (street address) and city where the deed(s) is recorded. Following the address below, give a brief description of the improvements, such as size, type of construction, use, number of stories, and present condition (use additional sheet if more space is required).

LIST PARCELS OF REAL ESTATE

Address ________________________

Year Acquired ________________________

Original Cost ________________________

Market Value ________________________

Amount of Lien ________________________

Name of Lienholder ________________________

Description(s) ________________________

Address ________________________

Year Acquired ________________________

Original Cost ________________________

Market Value ________________________

Amount of Lien ________________________

Name of Lienholder ________________________

Description(s) ________________________

Address ________________________

Year Acquired ________________________

Original Cost ________________________

Market Value ________________________

Amount of Lien ________________________

Name of Lienholder ________________________

Description(s) ________________________

SECTION II - PERSONAL PROPERTY

All items listed herein must show manufacturer or make, model, year, and serial number. Items with no serial number must be clearly identified (use additional sheet if more space is required).

Description - Show Manufacturer, Model, Serial No.

________________________

Year Acquired ________________________

Original Cost ________________________

Market Value ________________________

Current Lien Balance ________________________

Name of Lienholder ________________________

Description - Show Manufacturer, Model, Serial No.

________________________

Year Acquired ________________________

Original Cost ________________________

Market Value ________________________

Current Lien Balance ________________________

Name of Lienholder ________________________

Description - Show Manufacturer, Model, Serial No.

________________________

Year Acquired ________________________

Original Cost ________________________

Market Value ________________________

Current Lien Balance ________________________

Name of Lienholder ________________________

All information contained herein is TRUE and CORRECT to the best of my knowledge. I understand that FALSE statements may result in forfeiture of benefits and possible fine and prosecution by the U.S. Attorney General (Ref. 18 U.S.C. 100).

PLEASE NOTE: The estimated burden for completing this form is 19.8 hours per response. You will not be required to respond to collection of information unless it displays a currently valid OMB approval number. Comments on the burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., S.W. Washington, D.C. 20416 and Desk Office for Small Business Administration, Office of Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. OMB Approval (3245-0016).

________________________

Date ________________________

________________________

Date ________________________

Legal Forms Categories

Recently Added Forms

Library Of Legal Forms