CORPORATION DISSOLUTION INFORMATION CHECKLIST

(      FOR PROFIT) (      NOT FOR PROFIT) (      SUBCH. S)

(      LTD LIAB. CORP)

 

A.  CORPORATION: (full name) As reflected on CHARTER: ASSUMED NAMES:

WHAT COUNTIES/STATES: ATTACH COPY OF CHARTER/ARTICLES      , BY-LAWS 

 

STATE CHARTER NUMBER:

STATE FRANCHISE TAX NUMBER:

SALES TAX NUMBER:

Registered Address:

(ZIP) Business Address & Zip:

Mailing Address (zip):

Phone No:(      )         FAX NO. (    )

PAGER:

FEDERAL IDENTIFICATION NUMBER:

Name of Registered Agent:

Address:

IS CORPORATION OWNED BY ANY ALIENS? (thus requiring the withholding of

taxes or filing reports)? If so, who:

 

B.  PERSON TO CONTACT REGARDING THIS FILE(full name): Your Corporation

Title: Home Address: Mailing Address (zip): Home Phone No:(       )  

      Office Phone No.: (     )

 

C.  OFFICERS OF CORPORATION: As provided in By-Laws: (Pres.) (C.E.O.)

(1st V.P.) (2nd V.P.) (Sec.) (Treas.) (Sec./Tres.); Present Officers:

TITLE PRESENTLY HELD:

 

 

D.  BOARD OF DIRECTORS: Number as provided in By-Laws:  Title of

Presiding Officer: Present Directors:TITLE GIVEN TO EACH DIRECTOR:

 

 

E.  ARE FRANCHISE TAXES PAID UP TO DATE?      IF NOT, WHEN LAST PAID:

BRING A COPY OF LAST TWO YEARS' FRANCHISE TAX RETURNS.

 

A CERTIFICATE FROM STATE COMPTROLLER SHOWING FRANCHISE TAXES PAID IN

FULL TO DATE MUST ACCOMPANY DISSOLUTION RESOLUTION.  HAS THIS BEEN

ORDERED BY CLIENT? (FREE)

 

A FINAL FRANCHISE TAX REPORT MUST BE FILED FOR THE CLOSING YEAR, AND A

TAX PAID REPORT. IS CLIENT'S CPA TO FILE THIS FINAL RETURN?

 

 

F. SHAREHOLDERS:IS THIS A CLOSE CORPORATION? NUMBER OF SHARES AUTHORIZED

BY CHARTER: NUMBER OF SHARES ISSUED: NUMBER OF TREASURY SHARES HELD BY

CORPORATION: NUMBER OF SHARES HELD BY SHAREHOLDERS: SHAREHOLDERS:

ADDRESSES:NUMBER OF SHARES:

 

 

BRING A COPY OF STOCK TRANSFER RECORD BOOK FOR REVIEW. ARE THERE ANY

MISSING SHAREHOLDERS? ARE THERE ANY STOCK SUBSCRIPTION

AGREEMENTS/BUY-SALE AGREEMENTS? BRING COPY:

 

G.DISSOLUTION BY:  ALL SHAREHOLDERS SIGN CONSENT? IF NOT, THEN BY

DIRECTORS? OR, IS DISSOLUTION CONTESTED OR INVOLUNTARY? HAVE ALL

DEBTS/LEASES/CLAIMS/JUDGMENTS BEEN PAID BEFORE DISSOLUTION? ADDRESS

WHERE DISSOLUTION MEETING WILL BE HELD:

 

H.LIST DEBTS OF CORPORATION: LIST ALL DEBTS/OBLIGATIONS/TAXES DUE ON

ATTACHED EXHIBIT (they must be paid or assumed by shareholders) DEBTS

TO BE ASSUMED:AMOUNT:BY WHICH SHAREHOLDERS?:

 

I.ASSETS REMAINING TO BE SOLD/DIVIDED BETWEEN SHAREHOLDERS: LIST ON

ATTACHED EXHIBITS ALL ASSETS REMAINING OF THE CORPORATION. LIST THOSE

ASSETS TO BE SOLD TO PAY OFF DEBTS OF CORPORATION:

 

SHAREHOLDER TO RECEIVE ASSET: VALUE OF ASSET:

 

REMAINING TAX BASIS OF EACH ASSET NEEDS TO BE PROVIDED TO THE

SHAREHOLDER:

 

J. NOTICE OF DISSOLUTION TO CREDITORS: LIST THOSE CREDITORS TO WHOM

NOTICE OF INTENTION TO DISSOLVE MUST BE SENT: NAME:        ADDRESS:

NAME:        ADDRESS: NAME:        ADDRESS: NAME:        ADDRESS:

 

K.ADOPTION OF PLAN OF LIQUIDATION: IS THIS TO BE DONE?BY WHOM:

DESCRIBE PLAN IN DETAIL:

 

 

PLAN FILED WITH STATE COMPTROLLER (to reduce final year's franchise

tax)? IRS FORM ____ TO BE FILED BY WHOM? IRS FORM ____ TO BE FILED BY

WHOM?

 

L.WINDING UP BUSINESS AFFAIRS: HAVE ALL LEASES BEEN CANCELLED? HAVE

ALL IRS RETURNS BEEN FILED? HAVE ALL SALES TAX REPORTS BEEN FILED?

HAVE CURRENT LICENSE FEES BEEN PAID? OBTAIN "GOOD STANDING"

CERTIFICATE FROM STATE COMPTROLLER? DEBTS DUE CORPORATION BEEN

RECEIVED, WRITTEN OFF OR FILED ON? WITHHOLDING TAXES/UNEMPLOYMENT

TAXES PAID TO DATE? EMPLOYEES BEEN INFORMED OF CLOSING DOWN? (FED. LAW

MAY REQUIRE 30 DAYS NOTICE) EMPLOYER/EMPLOYEE BENEFIT PLANS BEEN TAKEN

INTO CONSIDERATION? INSURANCE AGENT BEEN INFORMED? FINAL INCOME TAX

RETURN FILED? IF CORPORATION IS SELLING INVENTORY IN BULK, BULK

TRANSFER AFFIDAVIT REQUIRED. IF CORPORATION IS SELLING REALTY OR

MATERIAL ASSETS OUTSIDE NORMAL SCOPE AND COURSE OF BUSINESS AFFAIRS,

THEN SHAREHOLDER'S CONSENT REQUIRED BY TEX. CORP. ACT. BRING PLANS AND

SPECIFICATIONS FOR REVIEW.  DONE? IF ASSETS ARE BEING SOLD TO INSIDERS

FOR "LESS THAN FAIR EQUIVALENT VALUE", THEN THE SALE COULD BE SET

ASIDE BY CREDITORS AND/OR BANKRUPTCY COURT. HAS CLIENT SOUGHT INCOME

TAX ADVICE AT ALL TIMES DURING THESE PROCEEDINGS (ATTORNEY WILL NOT BE

OBTAINING ADVICE BY CPA OR TAX COUNSEL IN THIS REGARDS, SO CLIENT MUST

ASCERTAIN THE TAX EFFECTS OF THIS TRANSACTION).

 

M.OTHER PERTINENT INFORMATION:

 

 

ASSETS OF THE CORPORATION

 

I. REALTY: (Please attach a copy of all deeds, title policies,

surveys, contracts, etc. which involves or defines the real estate.)

 

A._____ REALTY:  (First give street address, city, county and state;

then give Lot/Block/Section number and Subdivision name, or give

acreage and name of Survey, County, State; and then state its

appraised value; its Appraisal District Account Number; and whether or

not a lien exists against same.)

 

1.OWNED OR PURCHASING:

 

(a)Residential:

 

Value: Remaining tax basis:

 

(b)Non-residential:

 

Value: Remaining tax basis:

 

(c)Rural Acreage:

 

Value: Remaining tax basis:

 

(d)Condos/Timeshare/Town House:

 

Value: Remaining tax basis:

 

(e)Mineral/royalty interests:

 

Value: Remaining tax basis:

 

(f)Contract Rights/Possessory Rights:

 

Value: Remaining tax basis:

 

2.LEASING/LEASE-OPTION:

 

Value: Remaining tax basis:

 

 

3.TIMBER RIGHTS:

 

Value: Remaining tax basis:

 

4.OTHER:

 

Value: Remaining tax basis:

 

 

B.NON-_______ REALTY:  (First give street address, city, county and

state; then give Lot/Block/Section number and Subdivision name, or

give acreage and name of Survey, County, State; and then state its

appraised value; its Appraisal District Account Number; and whether or

not a lien exists against same.) (Attach copy of deeds, etc.)

 

1.OWNED OR PURCHASING:

 

(a)Residential:

 

Value: Remaining tax basis:

 

(b)Non-residential:

 

Value: Remaining tax basis:

 

(c)Rural Acreage:

 

Value: Remaining tax basis:

 

(d)Condos/Timeshare/Town House:

 

Value: Remaining tax basis:

 

(e)Mineral/royalty interests:

 

Value: Remaining tax basis:

 

 

(f)Contract Rights/Possessory Rights:

 

Value: Remaining tax basis:

 

2.LEASING/LEASE-OPTION:

 

Value: Remaining tax basis:

 

3.TIMBER RIGHTS:

 

Value: Remaining tax basis:

 

4.OTHER:

 

Value: Remaining tax basis:

 

 

II. PERSONALTY:  (First give full description of item, including VIN

numbers, serial number, model number, account number, policy number,

stock certificate number, bond numbers, etc.; and then state in whose

name the item is registered; the location of the item; then state its

appraised value, insured value, balance due or worth; and whether or

not a lien exists against same.)

 

A._____ and NON______ PERSONALTY:

 

1.RESIDENTIAL ITEMS:

 

(a)HOME NO. 1: Address: Describe major items only:

 

Value: Remaining tax basis:

 

(b)HOME NO. 2: Address: Describe major items only:

 

Value: Remaining tax basis:

 

2.MOTOR VEHICLES: TRUCKS, ATVs, MOTOR HOMES, MOTOR CYCLES, TRAILERS,

TRAVEL TRAILERS, BICYCLES, BOATS/TRAILER/MOTORS, RIDING LAWN MOWERS,

TRACTORS, FORK LIFTS, CRANES, and OTHER MOTORIZED MACHINERY (give

V.I.N., date, model, license no.; and values)

 

(a)Mobile Homes: Address: Define: $ Value: Remaining Tax Basis:

 

(b)Car No. 1: 19; Model ; Doors: VIN:; Blue Book Value: $ Value:

Remaining tax basis:

 

(c)Car No. 2: 19; Model ; Doors: VIN:; Blue Book Value: $ Value:

Remaining tax basis:

 

(d)TRUCK: 19; Model VIN:; Blue Book Value: $ Value:

Remaining tax basis:

 

 

(e)TRAILERS:

 

Value: Remaining tax basis:

 

(f)BOATS/MOTOR/TRAILER:

 

Value: Remaining tax basis:

 

(g)OTHERS:

 

Value: Remaining tax basis:

 

 

3.BUSINESS MACHINERY: (give location, model number, year, brand, VIN,

serial no., license no., name of manufacturer; value and remaining tax

basis; and whether or not it is mortgaged.)

 

(a) Value: Remaining tax basis:

 

(b) Value: Remaining tax basis:

 

(c) Value: Remaining tax basis:

 

(d) Value: Remaining tax basis:

 

4.BUSINESS EQUIPMENT, TOOLS, LIBRARY: (give location, model number,

year, brand, VIN, serial no., license no., name of manufacturer; value

and remaining tax basis; and whether or not it is mortgaged.)

 

(a) Value: Remaining tax basis:

 

(b) Value: Remaining tax basis:

 

(c) Value: Remaining tax basis:

 

 

5.BUSINESS RESALE INVENTORY: (give location, type of inventory, lot

number; value and remaining tax basis; and whether or not it is

mortgaged.)

 

(a) Value: Remaining tax basis:

 

(b) Value: Remaining tax basis:

 

(c) Value: Remaining tax basis:

 

(d) Value: Remaining tax basis:

 

6.BUSINESS SUPPLIES (not for resale): (give location, type, lot

number; value and remaining tax basis; and whether or not it is

mortgaged.)

 

(a) Value: Remaining tax basis:

 

(b) Value: Remaining tax basis:

 

(c) Value: Remaining tax basis:

 

(d) Value: Remaining tax basis:

 

7.PATENTS, COPYRIGHTS, TRADE NAMES, TRADEMARKS: (Details, number, date

of patent/copyright, assignments, pledges, contractual duties/rights)

 

(a) Value: Remaining tax basis:

 

 

(b) Value: Remaining tax basis:

 

(c) Value: Remaining tax basis:

 

(d) Value: Remaining tax basis:

 

8.VALUE OF GOING CONCERN/GOOD WILL:

 

9.BANKS/SAVINGS/IRA:

 

(a)Checking at: Account No.: $

 

(b)Checking at: Account No.: $

 

(c)Savings at: Account No.: $

 

(d)Savings at: Account No.: $

 

(e)Certificate of Deposit at: Account No.: $

 

(f)Certificate of Deposit at: Account No.: $

 

(g)Money Market at: Account No.: $

 

(h)I.R.A. at: Account No.: $

 

(i)I.R.A. at: Account No.: $

 

(j)CASH: $ at

 

(k)Other:

 

 

10.STOCKS, BONDS, INVESTMENT ACCOUNTS: (have they been pledged as

security on loan?)

 

(a)STOCK:  shares of Certificates Nos. Value per share: $; total

value: $

 

(b)STOCK:  shares of Certificates Nos. Value per share: $; total

value: $

 

(c)BONDS: SERIES ; Bond Nos.: Total value: $ (d)BONDS: SERIES ; Bond

Nos.: Total value: $ (e)MUTUAL FUNDS with: Account Nos:Total value: $

(f)COMMODITY MARKET: Account Nos.:Total value: $ (g)STOCK

OPTIONS/PUTS/CALLS:Total value: $

 

11.NOTES, DEBTS, CLAIMS DUE: (have they been collaterally

assigned/pledged as security?)

 

(a)Promissory Notes secured by lien for $, dated Maker:, balance owed

$ Secured by lien against: Value: Remaining tax basis:

 

(b)Contracts for Deeds: $, dated Buyer:, Balance due $ Property

buying: Value: Remaining tax basis: Value: Remaining tax basis:

 

(c)Claims, debts due: $, dated Debtor:, Balance owed $ Nature of

claim, debt: Value: Remaining tax basis:

 

(d)Escrow Deposits with: $; Account No. Value: Remaining tax basis:

 

(e)Utility Deposits with: $; Account NO. Value: Remaining tax basis:

 

(f)Unpaid wages from: $ Value: Remaining tax basis:

 

12.ANIMALS/CROPS: (give location, number, description, brands; value;

mortgage information)

 

(a)PETS: Value: Remaining tax basis:

 

(b)ANIMALS: Value: Remaining tax basis:

 

(c)FOWL/POULTRY: Value: Remaining tax basis:

 

(d)HORSES: Value: Remaining tax basis:

 

(e)OTHER: Value: Remaining tax basis:

 

(f)GROWING CROPS: Value: Remaining tax basis:

 

(g)OTHER:

 

 

13.BUSINESS ENTITIES:

 

(a)SOLE PROPRIETORSHIP: Assumed Name:; Filed in County of Type of

business: Address: Nature of Assets: Nature of Liabilities: Pending

Claims/lawsuits: Gross worth: $; Net Worth: $ Value: Remaining tax

basis:

 

(b)PARTNERSHIP/LTD. PARTNERSHIP: (same info as above)

 

Value: Remaining tax basis:

 

(c)LIMITED LIABILITY COMPANY: (same info as above)

 

Value: Remaining tax basis:

 

(d)OTHER: Value: Remaining tax basis:

 

 

14.INSURANCE (give name of insurance company, policy number, name of

insured, name of beneficiary, type of policy and amount of coverage,

and whether or not it is part of group insurance plan):

 

(a)Life Insurance - term: Value: Remaining tax basis:

 

(b)Life Insurance with Loan/Cash Surrender Value: Value: Remaining tax

basis:

 

(c)Burial Insurance: Value: Remaining tax basis:

 

(d)Medical/dental: Value: Remaining tax basis:

 

(e)Loan Insurance: Value: Remaining tax basis:

 

(f)Car policies: Value: Remaining tax basis:

 

(g)House insurance: Value: Remaining tax basis:

 

(h)Umbrella/indemnity policies: Value: Remaining tax basis:

 

(i)Insurance on children's/family member's lives: Value: Remaining tax

basis:

 

 

15.COMPANY BENEFIT PLANS:

 

(a)Retirement Plan with employer: Insurance company: Employee: Present

value: $; Future value $

 

(b)Annuity Plan with: (same info) Value: Remaining tax basis:

 

(c)Union benefits with: Value: Remaining tax basis:

 

(d)Stock Option Plan with: Value: Remaining tax basis:

 

(e)401K/KEOGH Plan with: Value: Remaining tax basis:

 

(f)BONUSES/VACATION PAY/OTHER: Value: Remaining tax basis:

 

16.ALL OTHER PERSONALTY AND ASSETS:

 

Value: Remaining tax basis:

 

 

EXHIBIT B LIABILITIES OF CORPORATION

 

The word "creditor" means: creditor, lien holder, claimant, person

owing the debt/claim/obligation, landlord, seller financing loan, etc.

THE FOLLOWING DEBTS AND OBLIGATIONS ARE THE DEBT OF THE CORPORATION,

WHETHER SOLELY LIABLE OR AS GUARANTOR OR OTHERWISE:

 

I.MORTGAGES SECURED BY REALTY LIENS:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

C.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

II.MORTGAGES SECURED BY PERSONALTY LIENS:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

C.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

III.I.R.S. LIENS/AD VALOREM TAXES/JUDGMENT LIENS:

 

A.IRS INCOME TAX: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.IRS WITHHOLDING TAX: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Security:

 

C.______ FRANCHISE TAX: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Security:

 

D.______ SALES TAX: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Security:

 

E.______/FED. UNEMPLOYMENT TAX: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

F.STATE/COUNTY AD VALOREM TAX: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

G.STATE\COUNTY PERSONAL PROPERTY TAX: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security: H.SCHOOL

DISTRICT AD VALOREM TAX: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Security:

 

I.SCHOOL DISTRICT PERSONAL PROPERTY TAX: Date: Original Amount: $

Present Balance: $ Monthly installment:$ Account Number: Security:

 

J.CITY/WATER DISTRICT AD VALOREM TAX: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

K.STANDBY WATER DISTRICT TAX: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

L.STATE PERMITS/LICENSES: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Security:

 

M.COUNTY/CITY PERMITS/LICENSES: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

N.ABSTRACT OF JUDGMENT: JUDGMENT CREDITOR: Date: Original Amount: $

Present Balance: $ Monthly installment:$ CASE Number: COURT NAME,

COUNTY, STATE:

 

 

O.LIS PENDENS: CLAIMANT: Date: Original Amount: $ Present Balance: $

Monthly installment:$ CASE NUMBER: COURT NAME, COUNTY, STATE:

 

P.PENDING PERSONAL INJURY SUITS: CLAIMANT: Date: Original Amount: $

Present Balance: $ Monthly installment:$ CASE NUMBER: COURT NAME,

COUNTY, STATE:

 

Q.PENDING CONTRACT SUITS: CLAIMANT: Date: Original Amount: $ Present

Balance: $ Monthly installment:$ CASE NUMBER: COURT NAME, COUNTY,

STATE:

 

R.PENDING CONDEMNATION SUITS: CLAIMANT: Date: Original Amount: $

Present Balance: $ Monthly installment:$ CASE NUMBER: COURT NAME,

COUNTY, STATE:

 

S.OTHERS:

 

 

IV.UNSECURED PROMISSORY NOTES:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security: V.POTENTIAL CLAIMS OR LAWSUITS

(breach of contract/debt/torts):

 

A.CLAIMANT: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.CLAIMANT: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

VI.ENVIRONMENTAL LIABILITY:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

VII.UNSECURED DEBTS/ACCOUNTS PAYABLE:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number:

 

C.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number:

 

C.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number:

 

VIII.CONTRACTUAL OBLIGATIONS (excluding leases):

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

IX.REAL ESTATE/BUILDING LEASES:

 

A.LANDLORD/ADDRESS: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Property:

 

B.LANDLORD/ADDRESS: Date: Original Amount: $ Present Balance: $

Monthly installment:$ Account Number: Property:

 

X.PERSONALTY LEASES:

 

A.LESSOR/ADDRESS: Describe leased object: Date: Original Amount: $

Present Balance: $ Monthly installment:$ Account Number:

 

B.LESSOR/ADDRESS: Describe leased object: Date: Original Amount: $

Present Balance: $ Monthly installment:$ Account Number:

 

 

C.LESSOR/ADDRESS: Describe leased object: Date: Original Amount: $

Present Balance: $ Monthly installment:$ Account Number:

 

XI.POSSIBLE CLAIM BY SHAREHOLDERS/OFFICERS and/or EMPLOYEES:

 

A.CLAIMANT: Date: NATURE OF CLAIM: AMOUNT OF CLAIM: Security: Written

Demand/Attorney letter?

 

B.CLAIMANT: Date: NATURE OF CLAIM: AMOUNT OF CLAIM: Security: Written

Demand/Attorney letter?

 

XII.ATTORNEY FEES/COURT COSTS:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

XIII.UNFINISHED CONTRACTS:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

 

XIV.CREDIT CARDS:

 

A.Creditor: CREDIT CARD NUMBER:Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

B.Creditor: CREDIT CARD NUMBER:Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

C.Creditor: CREDIT CARD NUMBER:Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

D.Creditor: CREDIT CARD NUMBER:Date: Original Amount: $ Present

Balance: $ Monthly installment:$ Account Number: Security:

 

XV.ALL OTHER DEBTS/OBLIGATIONS:

 

A.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

B.Creditor: Date: Original Amount: $ Present Balance: $ Monthly

installment:$ Account Number: Security:

 

EXHIBIT C PROPOSED DIVISION OF ASSETS and DEBTS

 

I. ASSETS OF CORPORATION: ITEM DESCRIBE VALUE NOW TAX BASIS SOLD or

NAME OF SHAREHOLDER TO GET ITEM

 

REALTY (Residential, Commercial, Condos/timeshare; all states)

 

LEASEHOLDS OIL, GAS, MINERAL, TIMBER RESIDENTIAL, FURNISHINGS &

CONTENTS

 

MOTOR VEHICLES (Cars, trucks, vans, trailers, motor homes, mobile

home, cranes, etc)

 

BUSINESS MACHINERY

 

BUSINESS EQUIPMENT, TOOLS & LIBRARY

 

INVENTORY FOR RESALE OR RETAIL

 

BUSINESS SUPPLIES

 

PATENTS, COPYRIGHTS, TRADEMARKS ETC.

 

 

GOOD WILL & NO-COMPETE AGREEMENT

 

BANKS, SAVINGS, IRAs, C.D.s, CASH

 

STOCKS, BONDS, Mutual Funds, OPTIONS

 

FARM ANIMALS & CROPS

 

OTHER BUSINESS INTERESTS

 

INSURANCE (Life, csv, car, medical, other)

 

COMPANY BENEFIT PLAN AND OTHER  ASSETS OF VALUE

 

EXHIBIT C PROPOSED DIVISION OF LIABILITIES

 

II. DEBTS AND LIABILITIES:\ ITEM NAME OF CREDITOR BALANCE DUE PAY OFF?

SHAREHOLDER TO ASSUME:

 

REALTY LIENS  (include Contract for Deed) PROPERTY LEASES BUSINESS

MACHINERY LEASES MORTGAGED MACHINERY/ EQUIPMENT MORTGAGED MOTOR

VEHICLES BUSINESS CONTRACTS BUSINESS UNSECURED CREDITORS IRS LIENS AD

VALOREM TAXES & OTHER TAX JUDGMENTS LIS PENDENS CLAIMS PENDING

LAWSUITS EMPLOYEE OBLIGATIONS STOCK CONTRACTS UNSECURED NOTES OTHER

BUSINESS DEBTS INSURANCE OBLIGATIONS CREDIT CARDS

 


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