Instructions for RD0442-0003

BALANCE SHEET

Organizations or public bodies complete this form. Organizations or public bodies use this form to provide an annual financial statement.

Submit the original of the completed form in hard copy or facsimile to the appropriate Rural Development servicing office.

Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

The organization or public body must complete all of the items specified in the following table.

Fld Name / Item No.	Instruction
1 Name	Enter borrower name.
2 Address	Enter borrower address.

Fld Name /
Item No.

Instruction

Name

Enter borrower name.

Address

Enter borrower address.

Assets

Fld Name / Item No.	Instruction
1 Cash on Hand in Banks	Enter the amount of cash on hand and in banks. Includes undeposited cash and demand deposits.
2 Time Deposits and Short Term Investments	Enter the amount of funds in savings accounts and certificates of deposit maturing within one year.
3 Accounts Receivable	Enter the amount of accounts billed but not paid by customers, users, etc. This is the gross amount before any allowances in Line 4, Allowance for Doubtful Accounts.

Fld Name / Item No.	Instruction
4 Allowance for Doubtful Accounts	Enter the amounts included in Line 3, Accounts Receivable, which are estimated to be un-collectable.
5 Inventories	Enter the total of all materials, supplies and finished goods on hand.
6 Prepayments	Enter the amount of payments made in advance of receipt of goods or utilization of services. Examples: rent, insurance.
7 and 8 Other Assets	Enter other current assets not included in lines above.
9 Total Current Assets	Add lines 1 through 8.
10 thru 12 Fixed Assets	Enter the value of land, buildings, furniture and equipment separately by gross value.
13 Other Fixed Assets	Enter other fixed assets.
14 Accumulated Depreciation	Enter total accumulated depreciation for Lines 10 -13.
15 Total Fixed Assets	Add lines 10 through 14.
16 and 17 Other Assets	Enter other assets not previously accounted for.
18 Total Assets	Add lines 9, 15, 16 and 17.

Liabilities and Equities

Fld Name / Item No.	Instruction
19 Accounts Payable	Enter amounts due to creditors for delivered or services completed.
20 Notes Payable	Enter amounts due to banks and other creditors for which a promissory note has been signed.
21 Current Portion USDA Note	Enter amount due USDA for principal payment during the next 12 months. Include any payments that are in arrears.
22 Customer Deposits	Enter funds of various kinds held for others.
23 Taxes Payable	Enter amount of taxes due.
24 Interest Payable USDA	Enter amount of interest due on principal amount in line 21.
25 and 26 Other Payables	Enter other payables and accruals not listed in lines 19 through 24.
28 Notes Payable USDA	Enter the amount of total principal payments to USDA that mature after one year and are not included in line 21.
29 and 30 Other Loan Term Liabilities	Enter all other long-term liabilities such as bonds, bank loans, etc. which are due after one year.
33 Retained Earnings	Enter net income which has been accumulated from the beginning of the operation and not distributed to members, users, etc.
34 Memberships	Enter the total of funds collected from persons of membership type facilities, i.e., water and sewer systems.

Fld Name / Item No.	Instruction
35 Total Equity	Add lines 33 and 34.
36 Total Liabilities and Equity	Add lines 32 and 35.
37 Date	Enter the date form is completed.
38 Signature	The appropriate official�s signature.