Financial Statement (Personal)

Simply complete the Financial Statement (Personal) form below then click on View Results to see your completed contract.

LawDepot's Financial Statement (Personal) is ideal for:

  • evaluating whether you should loan money to someone.
  • presenting a snapshot of your financial situation.
  • calculating your net worth.
We regularly maintain this contract. Last Modified: September 2008
Financial Statement (Personal) Details
Check to show hints for completing this form

This software has the flexibility to let you quickly create the Financial Statement you want. It does this by providing many options with appropriate defaults.

Leave an answer empty if you want a blank line in place of the answer in order to complete it after printing, but before it is executed.

Applicant Information

Number of Applicants: 

Applicant
Name:
Address:
(e.g. Street, City, State, County, Zipcode)
Phone Number: (e.g. (555) 555-5555)
Applicant's employer?
Applicant's position with the employer?
How long Applicant has held this position?
(e.g. three years, two months, etc.)
Purpose of Financial Statement

Name of receiving party:
Who you are making this statement for.
Address:
Enter the address for the party receiving this statement. (e.g. Street, City, State, Country, Zipcode)
Purpose of statement:

Describe why you are making this personal financial statement.
(e.g. obtaining a mortgage)
(e.g. guaranteeing a loan)
Assets Q. What are assets? A. Assets refer to anything that is owned by an individual or corporation that has a monetary value. Assets may include any of the following:
  • cash;
  • cash equivalents (e.g. Certificates of Deposit, money market accounts, bank accounts);
  • investments (e.g. stocks, bonds, mutual funds, savings bonds);
  • retirement funds, (e.g. 401(k) or 403(b) plans, Individual Retirement Accounts (IRAs), Registered Retirement Savings Plans (RRSPs));
  • real estate;
  • personal property (e.g. cars, boats, planes);
  • household goods (e.g. furniture, antiques, jewelry); and
  • claims against others.

Enter the following asset values to the nearest dollar (e.g. 4,435). Where appropriate, ensure that these values are the total amount for all the applicants for this statement.

Cash on Hand:  $

Number of Bank Accounts: 
Number of Debts Owed to Applicant: 
Number of Retirement Accounts: 
Number of Investments: 
Number of motor vehicles: 
Number of life insurance policies: 
Number of real estate properties: 
Number of Other Assets: 
Total Value of Assets:
This value is automatically calculated based on the values submitted for the above assets. It cannot be changed manually.

Liabilities Q. What are liabilities? A. Liabilities refer to financial obligations, debts or claims owed by an individual or corporation to another party. Liabilities may include any of the following:
  • loans (e.g. mortgage, student loans, bank loans, car loans);
  • credit card balances (e.g. Visa or Mastercard; department store cards);
  • taxes owed (e.g. real estate taxes or income taxes);
  • child support and other financial obligations; or
  • any miscellaneous amounts that are owed.


Enter the following liability values to the nearest dollar (e.g. 4,435). Where appropriate, ensure that these values are the total amount for all the applicants for this statement.

Number of loans from financial institutions: 
How many other loans do you have? 

Unpaid taxes:  $
Enter the amount of all unpaid taxes the Applicant is responsible for.

Number of credit cards: 
Number of Other Liabilities: 

Total Value of Liabilities:
This value is automatically calculated based on the values submitted for the above liabilities. It cannot be changed manually.
Net Worth Calculation Q. What does "net worth" mean? A. Net worth is the difference between everything of value that a person owns and all the debts that that person owes. In short, a person's net worth is the value of all assets minus the value of all liabilities. If the person has more assets than liabilities, then that person has a positive net-worth. If the person has more liabilities than assets, then that person has a negative net worth.

This value is automatically calculated by subtracting the Total Value of Liabilities from the Total Value of Assets based on the values previously submitted. It cannot be changed manually.

Net Worth Value:
Applicant's Source of Income

Enter the following values to the nearest dollar (e.g. 4,435).

Applicant
Salary:  $
Commission/Bonus Income:  $
Real Estate Income:  $
Investment Income:  $

Number of other sources of income: