Applicant’s Name: Luis Mendoza SUGGESTED FORMAT OMB No 3245-0017

SCHEDULE OF LIABILITIES
(Notes, Mortgages and Accounts Payabla)

Date of Schedule: 07/02/2021

Name of Original Original Current Current Maturity Date Payment Aumount How Secured
Creditor Amount Date Balance Delinquent (Month- Year)

Toyota 29,000 02/01/2020 20,000 Current monthly 4800 a year Unsecured

This form is provided for your convenience in responding to filing

_________________________________________
Signed
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requirements an item 2 on the application, SBA Form 5. You may use your
own form if you prefer. The information contained In this schedule ¡s a
supplement to your balance sheet arad should balance to the liabilities
presented on that form.

Title Please note: This form is also associated with the followIng 0MB Information
collections: 0MB No. 3245-0326 (SBA Form SM) and 0MB No. 3245-0330
(SBA Form SR).

SBA Form 2202 (4.03)