as at date Balance sheet of Farm name Present / Date purchased Municipal Assets Name of bondholder State if any assets are encumbered value / Annual capital Amounts owing Fixed property and price paid Bank use only Mortgage bonds Farm name / Plot Size District / Suburb Rand Plot no. seller reductions date Rand Gi ve parti cul ars of ea For and/ or amounts no. valuation instalment sale / lease agreements property separately, statin whether freehold or leaseho under deeds of and state if aff ected by a sale ser v i tudes, usu f ruct o fiduciary interests. Machinery, Plant, Implements, etc under Specify important items only To whom owing Instalment amount Loans from Standard Bank Furniture and repayable Vehicles fittings make, model and of first registration Type of loan Interest rate Date Instalment amount Other assets e.g. ant i ques, carpet Date jewell ery, stamp coll ectio Name of bank / financial institution Loans from other banks / issued coins, etc. financial institutions date Amount (Including insurance companies) If ceded to whom Interest rate Date repayable Instalment amount Surrender value Life assurance State briefly the less loans policies Card, Woolworths, Truworths, Edgars Surrender value of Lif e security given cards, polici payable to the Owing on undersigned a not to any credit cards third party Limit Interest rate Instalment amount e.g Mastercard, Visacard, Garage Type of card Name of company Liability for Investments If security held please gi income tax e.g Private company etc brief details Other liabilities By whom due Interest rate Date repayable etc. Bills payable Sundry creditors Description Period Terms of repayment Listed shares Company Number held Market Including Unit Trust investments as Guarantor, Surety or otherwise Trading assets Contingent Amount (applicable to firms In favour of whom Which institution only) liabilities R Bank credit balances/ Deposits (specify the name of the financial institution and type of account) Total liabilities R Cash on hand Your signature I / We declare that this is a full, true and correct statement of my / our position and that my / our assets are not encumbered other than as stated above. I / We that the bank may verify the information contained in this statement and may make any enquiries it considers necessary Your signature as at date Page 2 of 4 00049414 Page 3 of 4 2001-06 00049414 2001-06
Balance sheet of Assets State if any assets are encumbered Date purchased Municipal Present value as at date Farm name / Name of bondholder / Annual capital Amounts owing Fixed property Gi ve parti cul ars of ea Farm name / Plot no. Size District / Suburb and price paid valuation Rand For Bank use only Mortgage bonds and/ or amounts Plot no. seller reductions date Rand property separately, statin whether freehold or leaseho and state if aff ected by a ser v i tudes, usu f ruct o fiduciary interests. Machinery, Plant, Implements, etc Specify important items only under deeds of sale under instalment sale / lease agreements To whom owing Instalment amount Vehicles make, model and of first registration Furniture and fittings Loans from Standard Bank Type of loan Interest rate Date repayable Instalment amount Other assets e.g. ant i ques, carpet jewell ery, stamp coll ectio coins, etc. Life assurance policies Date issued date Amount If ceded to whom Surrender value less loans Loans from other banks / financial institutions (Including insurance companies) State briefly the Name of bank / financial institution Interest rate Date repayable Instalment amount Surrender value of Lif e polici payable to the undersigned a not to any third party security given Owing on credit cards e.g Mastercard, Visacard, Garage Card, Woolworths, Truworths, Edgars cards, Type of card Name of company Limit Interest rate Instalment amount If security held please gi brief details Investments e.g Private company etc By whom due Interest rate Date repayable etc. Bills payable Sundry creditors Liability for income tax Other liabilities Description Period Terms of repayment Listed shares Including Unit Trust investments Company Number held Market Trading assets (applicable to firms only) Contingent liabilities as Guarantor, Surety or otherwise In favour of whom Which institution Amount Bank credit balances/ Deposits (specify the name of the financial institution and type of account) Cash on hand R Total liabilities R Your signature I / We declare that this is a full, true and correct statement of my / our position and that my / our assets are not encumbered other than as stated above. I / We that the bank may verify the information contained in this statement and may make any enquiries it considers necessary Your signature as at date 00049414 2001-06 Page 2 of 4 00049414 2001-06 Page 3 of 4
balancesheet.docx