PERSONAL FINANCIAL STATEMENT

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1 OMB APPROVAL NO EXPIRATION DATE: 8/31/2011 PERSONAL FINANCIAL STATEMENT U.S. SMALL BUSINESS ADMINISTRATION As of, Complete this form for: (1) each proprietor, or (2) each limited partner who owns 20% or more interest and each general partner, or (3) each stockholder owning 20% or more of voting stock, or (4) any person or entity providing a guaranty on the loan. Name Business Phone Residence Address Residence Phone City, State, & Zip Code Business Name of Applicant/Borrower ASSETS Cash on hand & in Banks Savings Accounts IRA or Other Retirement Account Accounts & Notes Receivable Life Insurance-Cash Surrender Value Only (Complete Section 8) Stocks and Bonds (Describe in Section 3) Real Estate (Describe in Section 4) Automobile-Present Value Other Personal Property (Describe in Section 5) Other Assets (Describe in Section 5) Section 1. Source of Income Salary Net Investment Income Real Estate Income Other Income (Describe below)* tal (Omit Cents) LIABILITIES (Omit Cents) $ Accounts Payable $ $ Notes Payable to Banks and Others $ $ (Describe in Section 2) $ Installment Account (Auto) $ $ Mo. Payments $ Installment Account (Other) $ $ Mo. Payments $ Loan on Life Insurance $ $ Mortgages on Real Estate $ (Describe in Section 4) $ Unpaid Taxes $ $ (Describe in Section 6) Other Liabilities $ $ (Describe in Section 7) tal Liabilities $ Net Worth $ $ tal $ Contingent Liabilities $ As Endorser or Co-Maker $ $ Legal Claims & Judgments $ $ Provision for Federal Income Tax $ $ Other Special Debt $ Description of Other Income in Section 1. *Alimony or child support payments need not be disclosed in "Other Income" unless it is desired to have such payments counted toward total income. Section 2. Notes Payable to Banks and Others. (Use attachments if necessary. Each attachment must be identified as a part of this statement and signed.) Original Current Payment Frequency How Secured or Endorsed Name and Address of Noteholder(s) Balance Balance Amount (monthly,etc.) Type of Collateral SBA Form 413 (10-08) Previous Editions Obsolete This form was electronically produced by Elite Federal Forms, Inc. (tumble)

2 Section 3. Stocks and Bonds. (Use attachments if necessary. Each attachment must be identified as a part of this statement and signed). Number of Shares Name of Securities Cost Market Value Date of tal Value Quotation/Exchange Quotation/Exchange Section 4. Real Estate Owned. Type of Property (List each parcel separately. Use attachment if necessary. Each attachment must be identified as a part of this statement and signed.) Property A Property B Property C Address Date Purchased Original Cost Present Market Value Name & Address of Mortgage Holder Mortgage Account Number Mortgage Balance Amount of Payment per Month/Year Status of Mortgage Section 5. Other Personal Property and Other Assets. (Describe, and if any is pledged as security, state name and address of lien holder, amount of lien, terms of payment and if delinquent, describe delinquency) Section 6. Unpaid Taxes. (Describe in detail, as to type, to whom payable, when due, amount, and to what property, if any, a tax lien attaches.) Section 7. Other Liabilities. (Describe in detail.) Section 8. Life Insurance Held. (Give face amount and cash surrender value of policies - name of insurance company and beneficiaries) I authorize SBA/Lender to make inquiries as necessary to verify the accuracy of the statements made and to determine my creditworthiness. I certify the above and the statements contained in the attachments are true and accurate as of the stated date(s). These statements are made for the purpose of either obtaining a loan or guaranteeing a loan. I understand FALSE statements may result in forfeiture of benefits and possible prosecution by the U.S. Attorney General (Reference 18 U.S.C. 1001). Signature: Date: Social Security Number: Signature: Date: Social Security Number: PLEASE NOTE: The estimated average burden hours for the completion of this form is 1.5 hours per response. If you have questions or comments concerning this estimate or any other aspect of this information, please contact Chief, Administrative Branch, U.S. Small Business Administration, Washington, D.C , and Clearance Officer, Paper Reduction Project ( ), Office of Management and Budget, Washington, D.C PLEASE DO NOT SEND FORMS TO OMB.

3 DOCUMENTS NEEDED FOR LOAN PACKAGE Operating Company Corporate federal tax returns (all pages) for past three years. Corporate year end financial statements for past three years. Most recent corporate interim balance sheet and income statement. Debt schedule showing original date, original amount, current amount due (tied to interim financial statement), monthly payment, due date, and collateral. Shareholders Personal federal tax returns (all pages) for the past three years for each shareholder who owns 20% or more of the company. Personal financial statement for each shareholder who owns 20% or more of the company. Affiliate(s) defined as any company that a shareholder owns 20% or more of Corporate federal tax returns (all pages) for past three years. Corporate year end financial statements for past three years. Most recent corporate interim balance sheet and income statement. Debt schedule showing original date, original amount, current amount due (tied to interim financial statement), monthly payment, due date, and collateral. Other Purchase agreement for building (if purchase). Copies of existing promissory notes (if refinance). Copies of construction budget and equipment quotes (if remodel). Articles of Incorporation and Bylaws of entity buying building. Appraisal and/or Phase I Environmental report on building (if available). Photos of the building (inside and out with street scene showing entry and traffic pattern).

4 BOWLING CENTER LOAN APPLICATION Center Information Company Name Phone Address City State/Zip Date Established Date Acquired Number of Employees Currently After Loan Current Bank Bank Contact Person Accountant Insurance nt Business Ownership Name Title % Ownership Compensation Affiliates Company Name Owner (Applicant Company or Individuals) % Ownership Number of Lanes Year Built Pinsetters Lanes Scoring Summary of Business Building Size (square feet) Acres of Roof of HVAC Competition Name Location Lanes

5 BOWLING LOAN APPLICATION Personal Information ( be provided by all individuals who own 20% or more of the company) Name First Middle Last Date of Birth Place of Birth US Citizen Yes No If not, alien registration no. Home Phone Business Phone Home Phone Address Residence Address Previsions Address Lived at Previous Address Spouse's Name Social Security No. Have you ever had previous government financing? Yes No Have you ever declared bankruptcy? Yes No Are you a party to a lawsuit? Yes No Are there any outstanding judgments against you? Yes No Are you presently under indictment, parole, or probation? Yes No Have you ever been charged or arrested? Yes No Have you ever been convicted of any criminal offense? Yes No Secondary Education School Dates Attended Major Degree Military Background Branch Rank at Discharge Honorable Discharge Yes No Work History (Beginning with most recent)

Microloan Checklist Supporting documents to provide with loan application

Microloan Checklist Supporting documents to provide with loan application For existing businesses 1. Personal Tax Returns for the last three years on all borrowers who own 20% or more of the business 2.