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Financial Statement Form Template

Streamline Your Financial Reporting with Ease

Are you struggling to keep your financial records organized? This Financial Statement Form Template helps you create clear financial summaries, making it easier for you to communicate your business's financial health. Whether you need to prepare reports for stakeholders, assist with budgeting, or ensure compliance with financial regulations, this template provides a straightforward solution. Enjoy benefits such as customizable fields for specific data, WCAG-aligned accessibility features, and the ability to print or email your statement whenever you need to. Start streamlining your financial reporting now.

Full name
Date of birth
Email address
Phone number
Current address
Marital status
Single
Married/Civil union
Separated
Divorced
Widowed
Prefer not to say
Number of dependents
0
1
2
3
4
5+
Prefer not to say
Current employment status
Employed full-time
Employed part-time
Self-employed
Unemployed
Student
Retired
Homemaker
Prefer not to say
Other
Please Specify:
Monthly gross income (before taxes)
Average monthly amount from other income (if any)
Other income sources (select all that apply)
Overtime
Bonuses
Commissions
Rental income
Investment income
Alimony/Child support
Pension/Social Security
None
Other
Please Specify:
Estimated total monthly expenses
Largest expense categories (select up to three)
Please Specify:
Cash, checking, and savings total
Retirement accounts total (e.g., 401k, IRA)
Investments/brokerage total (non-retirement)
Real estate estimated total market value
Vehicles estimated total market value
Other assets total
Primary residence status
Own
Rent
Live with family
Other
Please Specify:
Mortgage balance total
Auto loan balance total
Student loans and other loans balance total
Credit card balance total
Do you maintain a monthly budget?
Yes
No
Emergency fund coverage (months of essential expenses)
Less than 1 month
1-2 months
3-5 months
6-11 months
12+ months
Not sure
Are you a co-signer or guarantor on any debt?
Yes
No
Do you have any pending legal or tax obligations that may affect your finances?
Yes
No
I certify that the information provided is true and complete to the best of my knowledge.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Full name as legal signature
Signature date
I authorize the organization to verify the information provided for financial review purposes.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration depicting a financial statement form template for FormCreatorAI article

When to use this form

This template helps you collect income statements, balance sheet figures, and cash flow details in one place. Use it when you apply for a loan, renew a credit line, bid on a contract, or prep for a board meeting. Small businesses, nonprofits, and startups benefit by standardizing assets, liabilities, owner equity, and revenue details. You can pair it with the Payment summary form to match deposits to sales and spot discrepancies. If you need to attach bank statements or receipts, route them through the Payment receipt upload form for a clean audit trail. The result is a clear snapshot of financial health that lenders, partners, and leaders can trust.

Must Ask Financial Statement Questions

  1. What is the reporting period start and end date?

    These dates frame the numbers so you do not mix partial months or fiscal years. They also let reviewers compare trends period over period and align with loan or grant deadlines.

  2. Which accounting basis do you use (cash or accrual)?

    The basis affects when you recognize income and expenses, which can change margins and cash flow. Stating it up front gives reviewers the right lens for analysis.

  3. What are total revenues for the period, broken down by source?

    A clear revenue breakdown supports forecasting and shows concentration risk. It also helps reconcile deposits and detect missing entries.

  4. What are your major expenses by category, and which were one-time?

    Categorizing costs highlights your biggest drivers and savings opportunities. Flagging one-time items prevents skewed margins in future comparisons.

  5. What liabilities and commitments are outstanding, including loans, payables, and recurring debits?

    Full visibility into obligations helps assess risk, liquidity, and covenant compliance. If you use automated bank pulls, note any on file via an ACH Authorization form to anticipate cash timing.

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