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Financial Statement Page 1

LGS Group, LLC

 
Notes on Preparation:

Note: You may want to print this information to use as reference later.

Many financial institutions will require information about your personal financial data. This form will help you prepare a personal financial statement.

Your personal financial statement should show only your personally held assets and liabilities (debts) outside the business. Do not include any business assets or liabilities.
Page 2 of the form allows you to give the details behind the numbers on the balance sheet.
If you present this financial statement to a potential lender or investor, be sure to sign and date it in the space provided. The signature is your pledge that the statement is complete and accurate to the best of your knowledge.

  • Step 1: Prepare a list of all assets owned whether they are paid for or not. Enter the amount you would receive by selling the asset for cash.
  • Step 2: Prepare a list of liabilities (money you owe).
  • Step 3: Net worth = Total Assets - Total Liabilities
Personal-Business Financial Statement of:
Your Name:
as of: (date)
 
Assets Amount in Dollars
Cash - checking accounts
Cash - savings accounts
Certificates of deposit
Securities - stocks / bonds / mutual funds
Notes & contracts receivable
Life insurance (cash surrender value)
Personal property (autos, jewelry, etc.)
Retirement Funds (eg. IRAs, 401k)
Real estate (market value)
Other assets (specify)
Other assets (specify)
Total Assets
 
Liabilities Amount in Dollars
Current Debt (Credit cards, Accounts)
Notes payable (describe below)
Taxes payable
Real estate mortgages (describe)
Other liabilities (specify)
Other liabilities (specify)
Total Liabilities
 
Net Worth
Signature: Date:

 

 
 

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