Official Chester County, Pennsylvania Personal Financial Statement Form | Step-by-Step Guide

PERSONAL FINANCIAL STATEMENT
State of Pennsylvania

Date: [DATE]

NAME: [YOUR NAME]
Address: [ADDRESS], PA [ZIP]
Phone: [PHONE]
Email: [EMAIL]

ASSETS:
Cash and Bank Accounts: $[AMOUNT]
Investments (Stocks/Bonds): $[AMOUNT]
Retirement Accounts: $[AMOUNT]
Real Estate (Market Value): $[AMOUNT]
Vehicles: $[AMOUNT]
Personal Property: $[AMOUNT]
Other Assets: $[AMOUNT]
TOTAL ASSETS: $[TOTAL]

LIABILITIES:
Mortgage Balance: $[AMOUNT]
Auto Loans: $[AMOUNT]
Credit Card Debt: $[AMOUNT]
Student Loans: $[AMOUNT]
Personal Loans: $[AMOUNT]
Other Liabilities: $[AMOUNT]
TOTAL LIABILITIES: $[TOTAL]

NET WORTH: $[ASSETS MINUS LIABILITIES]

MONTHLY INCOME:
Salary/Wages: $[AMOUNT]
Investment Income: $[AMOUNT]
Rental Income: $[AMOUNT]
Other Income: $[AMOUNT]
TOTAL MONTHLY INCOME: $[TOTAL]

MONTHLY EXPENSES:
Housing: $[AMOUNT]
Transportation: $[AMOUNT]
Insurance: $[AMOUNT]
Debt Payments: $[AMOUNT]
Living Expenses: $[AMOUNT]
TOTAL MONTHLY EXPENSES: $[TOTAL]

I certify that this statement is true and complete to the best of my knowledge, in accordance with Pennsylvania law (PA Statutes).

SIGNATURE: _____________________ DATE: _____