BONDING COMPUTATION WORKSHEET

1. Liquid Assets as of start of fiscal year (date) _______________:

A. Cash on hand and in banks $___________

B. Accounts receivable $___________

C. Loans receivable $___________

D. U.S. Treasury securities (market value) $___________

E. Other investments (market value) $___________

F. Other liquid assets $___________

2. Total Liquid Assets (Total of Lines A through F) $___________

3. Receipts during the fiscal year ended (date) ________ $___________

4. Total Liquid Assets plus Receipts (Line 2 plus Line 3) $___________

5. Deduct:

Receipts included in Line 3 which resulted from converting Liquid Assets

held at the beginning of the year into cash and from additional rollovers of

securities:

A. Payments on accounts receivable $___________

B. Payments on loans receivable $___________

C. Sales of U.S. Treasury securities $___________

D. Payments on mortgage investments $___________

E. Sales of other investments $___________

F. Sales of other assets $___________

G. Additional rollovers of securities $___________

6. Total Deductions (Total of Lines A through G) $___________

7. Total Funds Handled During Last Completed Fiscal Year (Line 4

minus Line 6) $___________

8. Amount of Bonding Required:

A. For each person having access to receipts only:

10 percent of Line 3. $___________

B. For each person having access to receipts and liquid assets:

10 percent of Line 7 . $___________