Net Worth Statement - FCC-FAC

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Net Worth Statement as ofprint versionCustomer name(s):If financial information is combined, net worth statement will be split evenly unless otherwise stated.Current AssetsCash on handAmount Total (1) Accounts receivable (owed by)Amount Total (2) Crop, feed & livestock product inventoryQuantityUnit /UnitAmount Total (3) Purchased feed and farm suppliesAmount Total (4) Prepaid expensesAmount Total (5) 4592c2(2019-08-30) mobilePage 1 of 5

Market livestock (exclude breeding herd)QuantityAmount /Head Total (6) Other current assetsAmount Total (7) (Add 1 through 7) Total current assets (8) Term AssetsBonds and investmentsDescriptionAmount RRSP'sTotal (9) Breeding livestockQuantityAmount /Head Total (10) Equipment and vehiclesYearMarket valueDescription (make, model, size, etc.) 4592c2(2019-08-30) mobilePage 2 of 5

Equipment and vehicles (cont'd)YearMarket valueDescription (make, model, size, etc.) Total (11) Real estate ownedBuildingsTotal areaCultivated areaMarket value Total (12) Quota (description and licence #)QuantityUnit /Unit% MarketableMarket value Total (13) AmountOther term assets Total (14) (Add 9 through 14) Total term assets (15) (Add 8 plus 15) Total assets (16) 4592c2(2019-08-30) mobilePage 3 of 5

Current Liabilities (due in less than 12 months)Accounts payable (owed to)Amount Total (17) Operating loans/credit cards/line of credit (owed to)LimitAmount Owing Total (18) Other current liabilities (owed to)Amount Total (19) (Add 17 through 19) Total current liabilities (20) Term Liabilities (Repayable over more than one year)Loan descriptionInterestratePaymentfrequencyPayment typePayment amountPrincipal balanceFCC Other Shareholder loans Total (21) (Add 20 plus 21) Total liabilities (22) 4592c2(2019-08-30) mobilePage 4 of 5

Net Worth Statement as ofCustomer name(s):Current assetsCurrent liabilitiesOther current assets(7) Total current assets(8) Cash on hand(1)Accounts receivable (owed by)(2)Crop,feed and livestock products inventory (3)Purchased feed and farm supplies(4)Prepaid expenses(5)Market livestock (excluding breeding herd) (6)Accounts payable (owed to)(17) Operating loans (owed to)(18) Other current liabilities (owed to)(19) Total current liabilities(20) Others (Principal balance)Term liabilitiesFCC (Principal balance)Shareholder loans (Principal balance)Term assets(21) Total term liabilities(9) Breeding livestock(10) Equipment and vehicles(11) Real estate owned(12) Quota(13) Other term assets(14) Debt/equityTotal term assets(15) Percent adjusted net worthTotal assets (16) Bonds and investments Total liabilities (22) Net worth%% Net worth Adjusted net worth%Adjusted debt/equityCertification and authorizationI certify that all information about me in this Net Worth Worksheet is accurate and is a true representation of my financial position. I consentto allow FCC to disclose the particulars of my credit facility to others, at any time during its term, for any purpose connected with the creditfacility. I further authorize my creditors, suppliers, and customers to provide FCC officers with any pertinent information.Customer signatureDateCustomer signatureDateFarm Credit Canada 1800 Hamilton Street, P.O. Box 4320 Regina, SK, Canada, S4P 4L3Your local office 1-800-387-3232 Customer Service Centre 1-888-332-3301 fcc.ca4592c2(2019-08-30) mobilePage 5 of 5

Net Worth Statement . as of Customer name(s): print version If financial information is combined, net worth statement will be split evenly unless otherwise stated. Prepaid expenses. Amount. Total (5) Current Assets. Cash on hand. Amount. Total (1) Accounts receivable (owed by) Amount. Total (2) Crop, feed & livestock product inventory .

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