Form  of the Financial Capability Situation

Applicant’s Legal Name: [insert full name]
Date: [insert day, month, year]

Summarize actual assets and liabilities in US dollars equivalent for the previous three recent years:
Financial information in
USD 	Historic information for previous 3 years
USD 	
	Year 1	Year 2	Year 3	
Information from Balance Sheet	
Total Assets (TA)				
Total Liabilities (TL)				
Current Assets (CA)				
Inventory (IN)				
Cash and cash equivalents				
Accounts Receivables (AR)				
Current Liabilities (CL)				
Information from Income Statement	
Annual Turnover				
Profits Before Taxes (PBT)				
Quick Ratio (QR)i, calculated as
QR=(Cash + AR) / CL	[insert QR]	[insert QR]	[insert QR]