Personal Financial Statement of:

(NAME)
as of:
MM/DD/YYYY

Assets Amount in USD

Cash - checking accounts PHP -
Cash - savings accounts PHP -
A 0
B -
C -
D -
Certificates of deposit
Securities - stocks / bonds / mutual
funds PHP -
E -
F -

Notes & contracts receivable PHP -

G -

Personal property (autos, jewelry,

etc.) PHP -
H -
I -
J -
K -
L -

$ -
Total Assets $ -

Liabilities Amount in Dollars

Current Debt (Credit cards,
Accounts) PHP -
Notes payable (describe below) PHP -
Taxes payable
Real estate mortgages
M $ -
N $ -
O

Other liabilities
Other liabilities
Total Liabilities $ -

Net Worth $ -

Signature: Date:
Personal Finance Statement of:
Enter your name here

Details

1. ASSETS - Details

Notes and Contracts held

Monthly
From Whom Owing Balance Owing Original Amount Original Date Payment Maturity Date History / Purpose
$ - $ - $ -

Securities: stocks / bonds / mutual funds

Date of
Name of Security Number of Shares Cost Market Value Acquisition
$ - $ -

Stock in Privately Held Companies

Est. Market
Company Name No. of shares $ Invested Value
$ - $ -

Real Estate
Description / Location Market Value Amount Owing Original Cost Purchase Date
$ - $ - $ -

2. LIABILITIES - Details

Credit Card & Charge Card Debt

Name of Card / Creditor Amount Due
$ -

Notes Payable (excluding monthly bills)

Monthly Secured by
Name of Creditor Amount Owing Original Amount Payment Interest Rate (Leine)
$ - $ - $ -

Mortgage / Real Estate Loans Payable

Monthly Secured by
Name of Creditor Amount Owing Original Amount Payment Interest Rate (Leine)
$ - $ - $ -
Acqua Expenses

Interiors 170,000 Cash

Bank fees Cash
Installation fees Cash
SERVICE FEES TOTAL (CASH)

Aircon 31000 Cash

Washing Machine 37500 Cash
Electric hotplate 4100 Cash
APPLIANCECS TOTAL (CASH) 72,600

Iwata 1 2800 Card

Iwata 2 4000 Card
Microwave 3700 Card
APPLIANCES TOTAL (CARD) 10,500

Dining table- SM 7995 Card

Sofa: Daisy 2-seater Mandaue
Foam 13100 Card
Dresser table - Sanyang 4099 Card
Shoe cabinet - Sanyang 1150 Card
FURNITURE TOTAL 26,344