Lic403 2026

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The document is a Balance Sheet form (LIC 403) from the California Department of Social Services, Community Care Licensing, intended for applicants or licensees of community care facilities. It outlines the structure for reporting current and long-term assets, liabilities, and equity. The form requires detailed financial information to be submitted alongside a supplemental schedule (LIC 403a) and emphasizes the need for accuracy and compliance in reporting financial positions.

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Click ‘Get Form’ to open the LIC 403 in the editor.
Begin by entering the current date at the top of the form. This is essential for accurate record-keeping.
Fill in the facility name, entity name, and application/license number in their respective fields to identify your submission.
For each asset category, such as cash on hand and stocks, enter the corresponding amounts. Ensure all figures are accurate and reflect your financial status.
Proceed to liabilities, detailing any credit accounts and loans. Sum these amounts accurately to reflect total liabilities.
Calculate equity by subtracting total liabilities from total assets. This final figure is crucial for understanding your financial position.
Finally, print your name in the preparer section and sign to attest that all information is true and correct before submitting.

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Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (128 Votes)

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