STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT MINIMUM FINANCIAL REQUIREMENTS WORKSHEET DBO-260.237.2 (Rev. 10-17) STATE OF CALIFORNIA BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY Department of Business Oversight CRD NUMBER: APPLICANT'S NAME: COMPUTATIONS AS OF: / / TYPE OF REPORT (Initial, Annual, Interim): SUMMARY: NET WORTH From (b) below A MINIMUM NET WORTH REQUIRED [Per Section 260.237.2(a)(b) CCR] B EXCESS/ (DEFICIT) IN NET WORTH [A-B] EXCESS/ (DEFICIT) IN NET WORTH @120% From (d) below C NET WORTH [Per Section 260.237.2(d)] TOTAL ASSETS Less: EXCLUDED ASSETS From (c) below a Total Allowed Assets TOTAL LIABILITIES NET WORTH (Total Allowed Assets - Total Liabilities) (Transfer to A above) b EXCLUDED ASSETS [Per Section 260.237.2(d)] NON CURRENT PREPAID EXPENSES DEFERRED CHARGES GOODWILL FRANCHISE RIGHTS ORGANIZATIONAL EXPENSES PATENTS COPYRIGHTS MARKETING RIGHTS UNAMORTIZED DEBT DISCOUNT AND EXPENSE ALL OTHER ASSETS OF INTANGIBLE NATURE HOME, HOME FURNISHINGS, AUTOMOBILES AND OTHER PERSONAL ITEMS NOT READILY MARKETABLE (INDIVIDUAL) ADVANCES OR LOANS TO STOCKHOLDERS AND OFFICERS ADVANCES OR LOANS TO PARTNERS (PARTNERSHIP) TOTAL EXCLUDED ASSETS (Transfer to a above) c 120% TEST [Per Section 260.241.2(d)] NET WORTH (From (A) above) MINIMUM NET WORTH REQUIRED @ 120% (From (B) above x 120%) EXCESS/ (DEFICIT) IN NET WORTH @120% (Transfer to C Above) d American LegalNet, Inc. www.FormsWorkFlow.com