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Submitted to: United Casualty and Surety Insurance Company PERSONAL FINANCIAL STATEMENT Name: Name of Individual and Spouse (if married) Home Address Statement of Assets and Liabilities as of CURRENT
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How to fill out personal financial statement form

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How to fill out a personal financial statement form:

01
Gather all necessary financial documents, such as bank statements, investment statements, tax returns, and pay stubs.
02
Start by filling out your personal information, including your name, contact details, and social security number.
03
List all your assets, such as cash, real estate, vehicles, investments, and retirement accounts. Provide accurate information about the current value of each asset.
04
Move on to liabilities, including any outstanding loans, mortgages, credit card debts, and other financial obligations. Record the outstanding balance and monthly payment for each liability.
05
Calculate your net worth by subtracting your liabilities from your assets.
06
Provide information about your income, including wages, self-employment earnings, rental income, and any other sources of income. Include details about the frequency and amount of each income source.
07
Record your monthly expenses, including housing costs, transportation expenses, utilities, insurance payments, debt repayments, and any other regular expenses.
08
Deduct your expenses from your income to determine your monthly surplus or deficit.
09
Finally, sign and date the form to certify the accuracy of the information provided.

Who needs a personal financial statement form?

01
Individuals applying for loans or mortgages: Financial institutions often require a personal financial statement form to assess a borrower's financial health and ability to repay the loan.
02
Small business owners or entrepreneurs: When applying for business loans or seeking investment, a personal financial statement form may be required to evaluate the individual's personal financial situation and how it may impact the business.
03
Individuals undergoing significant life events: People going through divorce, estate planning, or considering bankruptcy may need to fill out a personal financial statement form to provide a snapshot of their financial status.
04
High-net-worth individuals or investors: Wealthy individuals or investors may use a personal financial statement form to track their net worth and make informed financial decisions.
05
Individuals seeking financial advice: Working with a financial advisor or planner may involve completing a personal financial statement form to enable them to provide tailored advice and guidance based on the individual's financial situation.
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A personal financial statement form is a document that provides information about an individual's financial situation, including assets, liabilities, income, and expenses.
Individuals who hold certain positions or have specific financial interests may be required to file a personal financial statement form.
To fill out a personal financial statement form, you will need to gather information about your assets, liabilities, income, and expenses, and then enter this information into the designated sections of the form.
The purpose of a personal financial statement form is to provide a snapshot of an individual's financial situation, which can be used for assessing creditworthiness, financial planning, and compliance with reporting requirements.
Information that must be reported on a personal financial statement form typically includes details about assets (such as cash, investments, real estate), liabilities (such as loans, mortgages, credit card debt), income, and expenses.
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