Schedule a Stocks and Bonds

360 Equipment Finance, LLC PERSONAL FINANCIAL STATEMENT

CO. / NAME DATE

Assets Owned Liabilities Owned (Including Separate Assets, If Any) (Including Separate Liabilities, If any)

Cash in Bank $ Notes Payable $ $ Cash in $ Due to Bank $ $ Savings/Money Market $ Real Estate $ $ Stocks & Bonds $ Home $ $ Listed $ Other R.E. $ $ Unlisted $ Taxes Owing $ $ Accounts/Notes $ Owing on Autos $ $ Contracts Receivable $ Credit Cards $ $ Real Estate $ Other Installments $ $ Home $ (Schedule F) $ $ Other Real Estate $ $ $ Automobiles $ $ $ Make/Model $ $ $ Make/Model $ $ $ Life Ins./Cash Value $ $ $ Other Assets $ $ $ $ $ $ $ $ $ $ $ $ $ Total Liabilities $ $ $ Net Worth $ $ Total Assets $ Total Liability/Net Worth $ $

ANNUAL INCOME ANNUAL EXPENDITURES Year Ending Month Year Year Ending Month Year Salary Taxes/Insurance Assessments Dividends/Interest Mortgage Payments/Rent Rental Income Contract Pmts/Notes/Accounts Bonus/Commissions Living Expenses Other Alimony, Child Support Other Other Other Other SCHEDULE A – STOCKS AND BONDS Listed Securities/ Name of Company Exchange Listing Number of Shares Mkt. Price/Unit Total Mkt. Value Unlisted Sec.

SCHEDULE B – NOTES/CONTRACTS RECEIVABLE Due From Address Collateral How Payable Maturity Date Balance Due

SCHEDULE C – R/E MORTGAGES & CONTRACTS PAYABLE Address Description Date Cost Current Mkt. Monthly Monthly Mortgage or Acquired Value Income Payment Leinholder

SCHEDULE D – CASH VALUE OF LIFE INSURANCE Insured Beneficiary Co. Name Face Amt Cash Value Owed to Loan amt.

SCHEDULE E – OTHER ASSETS/PERSONAL PROPERTY Description Value Description Value

SCHEDULE F – CREDIT CARDS Name of Issuer Card Number Exp. Date Credit Limit Current Balance

SCHEDULE G – OTHER INSTALLMENT OBLIGATIONS Due to Address Collateral Maturity How Payable Balance Annual Personal Grty. Date Due % Rate

CONTINGENT LIABILITIES: IN NON THEN INITIAL HERE: Are any assets pledged or mortgaged other than shown above? Yes No Are you (or your spouse) a defendant in a lawsuit? Yes No Have you or your spouse ever taken bankruptcy? Yes No

I (we) have provided information in this application truthfully. I (we) authorize 360 Equipment Finance, LLC to verify or check any of the information given, check credit references, verify employment and obtain one or more credit reports in connection with this credit application or in connection with any periodic review of any loans or credit which may be extended to me (us). If I am married and live in a community property state, this authorization is also made on behalf of my spouse even if he or she is not a co-applicant. I (we) give all of my (our) creditors permission to provide 360 with any information it needs to make a credit granting decision. I (we) give 360 permission to report to credit reporting agencies and other the results of such investigations, and MF’s experience with my (our) loan.

Applicant’s Signature Spouse’s Signature Date