个人财务状况.doc

INDIVIDUAL FINANCIAL STATEMENT 个人财务状况声明 AS AT _______________ (DATE) 截止日_______________________ Family Name: 姓：Other Name: 名：Identity Card No.: 身份证号码：Passport No: 护照号码：Date Place of Issue: 发行日期：Residence Address: 住宅地址： Telephone No.: 电话号码：Business Address: 商业地址：Telephone No.: 电话号码：Overseas Address If Any: 海外地址（如有）：Telephone No.: 电话号码：Professional Qualifications (If Applicable) 专业资质（如适用）Annual Income 年收入 Salary 工资：__________ Others其它：__________ Total 总共：__________  If any of the following assets are jointly owned, please give details 如以下资产是与他人共同拥有，请提供详细资料： Assets资产Amount金额(RMB）Cash and Deposits (Schedule A)现金与存款（A部分）Shares, Stocks and Bonds (Schedule B)股份，股票和债券（B部分）Real Estate (Schedule C)房地产（C部分）Accounts and Notes Receivable (Schedule D) 应收账款或者票据（D部分）Other Personal Property (Schedule E) 其他个人财产(E部分）(including vehicle etc)包括汽车Other Items 其他其它N.B. Assets held through the medium of Trusts should NOT be included in this schedule. 不包括由信托中介持有的资产 Total Assets: 总资产： Liabilities负债Amount金额(RMB）Loans Payable to Financial Institutions (Schedule 1)需要偿还给财务机构的贷款（第一部分）Other Loans and Accounts Payable (Schedule 2)其他贷款和应付账款（第二部分）Mortgages (Schedule 3) 按揭 （第三部分）Taxes Payable 应付税务Other Liabilities 其它负债 Total Liabilities: 总负债： Total Asset总资产 : _________________ Less: Total Liabilities减总负债 : _________________ Net Worth净资产 : _________________