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Personal Financial Statement

U.S. Small Business Administration — SBA Form 413

OMB Approval No. 3245-0188
Submitted via NTIB Finance & Consulting
ntibfin.com · 914.419.3059
Purpose: This form collects information about the Business Applicant and its owners' financial condition. Complete in its entirety — attach a separate sheet if necessary. This information is current as of the date of submission (within 90 days for 7(a)/504/SBG or 30 days for 8(a) BD).

Application Type

Check all that apply

Personal & Business Information

Assets & Liabilities

Omit cents — round to nearest dollar

Assets

Liabilities

Section 1 — Source of Income & Contingent Liabilities

Source of Income

Contingent Liabilities

Section 2 — Notes Payable to Banks and Others

Name & Address of Noteholder Original Balance Current Balance Payment Amount Frequency How Secured / Collateral

Section 3 — Stocks and Bonds

Name of Securities Number of Shares Cost Market Value Total Value Quotation / Exchange Date of Quotation

Section 4 — Real Estate Owned

List each parcel separately
Property A
Property B
Property C

Sections 5–8 — Descriptions & Detail

Certification & Signature

Certification: By signing this form, I certify under penalty of criminal prosecution that all information on this form and any additional supporting information submitted with this form is true and complete to the best of my knowledge. I understand that SBA or its participating Lenders or Certified Development Companies or Surety Companies will rely on this information when making decisions regarding an application for a loan, surety bond, or participation in the WOSB or 8(a) BD program.
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Please provide your signature.

Spouse signature (if required — when spousal assets are included):

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You must agree to submit this form.