condition of as .
By .
.financial of statement truthful and accurate an is foregoing the Idthat eclare
of MFirm . ember
material no been has Schange there time that .19ince
,and account an have you whom with houses five least at of names .Give address their give
Did taken was inventory when date ?.State market or cost itat figure you
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ST. tate Street own
notify .at you place ,Iwchange once any take inances inffill . . . . .. . . . . . .. . . . . .. . . . . .. . . . . . . . . . . .. . . . . . .. . .
(or ).Firm individual
?Ifame inpartnership you ,nAre .so partners
,are so WIf pledged now Tany ?.amount whom ohat
?. others tobanks receivable notes or accounts pledge ever you Do
Are keep you do ?.What account of books from figures above
.LEB.'s iability Mdse on insurance your State uildings mployer
. . .. .. . .. ... .. .. .. . .. . .. .. . .
?. location present at established been you have long How previous experience business where and .State . . . . . . . . . . .
?.To whom assigned insurance any Is
cash inPcredit ,.State sales monthly average your .,oart n
.rental expense monthly average your State Monthly
