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Form K-193 Statement of Financial Condition

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Form Instructions

INSTRUCTIONS: CONNECTICUT STATEMENT OF FINANCIAL CONDITION (Form K-193)

Connecticut motor vehicles and repairers use a form K-193 to document their financial condition. This document can be obtained from the website of the government of Connecticut.

Connecticut Statement Of Financial Condition K-193 Step 1: Enter the date at the top right-hand corner.

Connecticut Statement Of Financial Condition K-193 Step 2: Enter the trade name on your dealer application.

Connecticut Statement Of Financial Condition K-193 Step 3: Indicate with a check mark whether you are filing a statement for a partnership, an individual, a corporation, or a limited liability company.

Connecticut Statement Of Financial Condition K-193 Step 4: The first section should only be completed by individuals or partnership owners. Enter the individual name, date of birth, Social Security number, spouse's name, current employer, position and length of employment.

Connecticut Statement Of Financial Condition K-193 Step 5: The second section should be completed by corporations or limited liability companies only. Enter your corporate or company name, the state in which you are incorporated, the date of incorporation or organization, and the corporate or company address.

Connecticut Statement Of Financial Condition K-193 Step 6: Skip to Schedule A at the bottom of the first page. This section concerns U.S. government and marketable securities.

Connecticut Statement Of Financial Condition K-193 Step 7: Schedule B at the top of the second page concerns nonmarketable securities.

Connecticut Statement Of Financial Condition K-193 Step 8: Schedule C concerns notes receivable.

Connecticut Statement Of Financial Condition K-193 Step 9: Schedule D concerns accounts receivable.

Connecticut Statement Of Financial Condition K-193 Step 10: Schedule E concerns real estate.

Connecticut Statement Of Financial Condition K-193 Step 11: Schedule F concerns motor vehicles.

Connecticut Statement Of Financial Condition K-193 Step 12: Schedule G concerns credit cards.

Connecticut Statement Of Financial Condition K-193 Step 13: Schedule H concerns banks and other institutional relationships.

Connecticut Statement Of Financial Condition K-193 Step 14: Return to the first page and complete the assets and liabilities section using the information provided above.

Connecticut Statement Of Financial Condition K-193 Step 15: Answer questions 1 through 6 on the first page by checking "yes" or "no" as applicable.

Connecticut Statement Of Financial Condition K-193 Step 16: The certified public accountant completing this form should sign and date the bottom of the second page.

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