Orange County NC Website
Browse       Search
Print PFS Sheets <br /> B.1]&T�Q� <br /> Print Joint Intent Sheets <br /> Print All Sheets <br /> Personal Financial Statement <br /> AS OF: September 9,2016 <br /> TO: BB&T <br /> Name Michael Lee Hoots Date of Birth June 12,1964 <br /> Address 1621 Conrad-Sawmill Rd P SSN r FUN ***-**-8087 <br /> Lewisville,NC 27023 Residence Phone 336-945-0400 <br /> Position or Occupation Business Owner <br /> Business Name LifeStar Emergency Services,LLC <br /> Business Address 3475 Myer Lee Drive Business Phone 336-722-5433 <br /> Winston-Salem,NC 27101 <br /> This is a(n) r Indt dual Financial Statement r Joint Financial Statement. If joint,complete the following: <br /> Joint Name Jeanette L Hoots Date of Birth September 28,1966 <br /> SSN r!TIN ***-**-1571 <br /> Position or Occupation Teacher <br /> Business Name Winston-Salem/Forsyth County Schools-Gibson Elementary <br /> Business Address Walker Rd Business Phone 336-414-3664 <br /> Winston-Salem,NC 27106 <br /> *List all amounts in dollars. Omit Cents. <br /> ASSETS AMOUNT LIABILITIES AND NET WORTH AMOUNT <br /> Cash/Deposit Accounts(Sch.1) $889,691 Accounts Payable <br /> Cash Value of Life Insurance(Sch.2) Loans on Life Insurance(Sch.2) <br /> Notes and Accounts Receivable Income Taxes Due <br /> Marketable Stocks&Bonds(Sch.3) Liab of Partnerships/Joint Ventures <br /> Stock in Closely Held Corporations(Sch.4) Loans on Vehicles,Boats,etc.(Sch.5) $165,424 <br /> Assets in Partnerships&Joint Ventures Loans on Real Estate(Sch.6) $1,114,508 <br /> Vehicles,Boats,Machinery,&Equipment(Sch.5) $640,000 Other Loans Payable(Sch.9) $50,326 <br /> Real Estate(Sch.6) $2,514,100 Other Liabilities: <br /> Vested Interest in Pension/Retirement Accts.(Sch.7) $413,167 <br /> Other Assets(Sch.8) $17,000 <br /> Total Liabilities $1,330,258 <br /> Net Worth $3,143,700 <br /> Total Assets $4,473,958 Total Liabilities&Net Worth $4,473,958 <br /> Application for Ambulance Franchise <br /> Orange County,North Carolina LIFE STAR <br />