Equipment and Loan Information

New Equipment description:

Purchase Date

Dated started using the equipment

REF NBR

Trade in description:

Cost shown on depreciation schedule

$ -

Accumulated depreciation

$ -

Amount of loan still owing on trade-in

$ -

Ref number on depreciation schedule

Down payment made on the equipment

$ -

Check number and date for down payment

Loan description:

Annual % Rate

0.00%

Amount of loan

$ -

Date of loan

1/0/1900

First payment date

1/0/1900

Number of payments

0

Amount of payment

$ -

Borrower

Signer of note

Who used the equipment or loan proceeds?

"NET PAYOFF" BALANCE

DATE

Total interest charged

Please attach copies of Reg Z disclosure and the promissory note

Depreciable basis of new equipment:

Adjusted basis of trade in

$ -

Down payment

$ -

Loan proceeds

$ -

Tax Basis of new equipment

$ -

This information is used to calculate tax depreciation on your depreciable assets. This

information is used to prepare your tax return and your financial statements. If you borrow

the money personally and allow a corporation you own to use the equipment - show that

you are the borrower and the signer of the note. Show that the company has benefit of the

use of the item[s].

Preserve the "Blank Form"

You may copy the form from one tab/worksheet to a new worksheet

You may decide to name the w/s tabs with the equipment name

You may need more than one w/s foreach month

If this is a lease purchase, then please write in the market value at the date of the lease

Write in the total number of payments required

Write in the amount of each payment

Write down the initial cash payments for the lease

Write down the requirements for you to own the equipment at the end of the lease.