Oxford Adoption Foundation, Inc. Financial Statement

 

Father Applicant

Mother Applicant

 

Name:_________________________________

 

Name:_________________________________

 

Occupation:____________________________

 

Occupation:____________________________

 

Employer:_____________________________

 

Employer:_____________________________

 

Work Address:__________________________

 

Work Address:__________________________

 

______________________________________

 

______________________________________

 

Yearly Income:_________________________

 

Yearly Income:_________________________

 

Other Income:__________________________

 

Other Income:__________________________

 

Joint Assets

 

Joint Liabilities

Banks & Savings List Institution & Amount

Credit Cards List Type & Amount

 

 

 

 

 

 

Securities (includes stock, pension & retirement funds) List all types and total value of each

Other Loans List Type & Amount

 

 

 

 

 

 

Real Property List Type & Amount of Equity

Real Property List Type & Amount of Mortgage

 

 

 

 

 

 

 

How much do you want to borrow from Oxford Adoption Foundation?_____________________