Inventory of Assets & Liabilities Sheet

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1980 Orange Tree Lane Suite 270

Redlands, California 92374

www.LindseyFinancial.com

Inventory of Assets and Liabilities

Client Name:

Personal ResidenceAddress

Title/Owner

Market Value

Liabilities

Annual Estimated Expenses

Business EntitiesCompanies Owned

Title/Owner

Market Value

Liabilities

Notes & Deeds of Trust - Owed to you

List Name of Trustor (Borrower), Terms of Note and Current Balance Owed to you.

Market Value

Notes & Deeds of Trust - Owed to you

List Name of Trustor (Borrower), Terms of Note and Current Balance Owed to you.

Liabilities

Investment Real Estate Holdings

Title/Owner

Market Value

Liabilities

Investment Accounts (Stocks, Bonds, CD's)

Title/Owner

Balance

Retirement Accounts (IRA, ROTH IRA, 401(k), Defined Benefit, etc.)

Title/Owner

Balance

Life Insurance Policies Company

Insured

Type (Term/Whole)

Cash Value

Face Amount

Premium

InsuranceCompany

Annual Premiums

Homeowners

Automobile

Health

Disability

Umbrella

Long Term Care

Personal Assets(Cars, Jewelry, etc.)

Title/Owner

Market Value

Liabilities

Bank Accounts (Personal)

Title/Owner

Balance

Intellectual PropertyName of Asset

List Patents, Copyrights, Web Addresses, and Similar Intellectual Property.

Market Value

Encumbrances

Basis

Ownership