Sample Personal Financial Statement for Estate Planning Purposes


Use the List of Categories as a checklist for what to include in your own Personal Financial Statement.

We suggest that you prepare your own form. If you prefer a template to print out and fill in, click here.  


Financial Statement for John Smith and Susan Smith (husband and wife)


Asset - General Categories   
John Only
Susan Only
Jointly Titled
Notes





House - Net of Mortgages (Equity)


425,000

Timeshare


10,000






Cash Assets - Bank Accounts, C/D's, Money Market Accounts
12,000
20,000
50,000

Individual Stocks, Mutual Funds - Non-Retirement Accounts


65,000






Automobiles (net of loan balances)

20,000
25,000

House Furniture and Furnishings


25,000

Coin Collection
15,000



Other Tangible Personal Property (Artwork, Jewelry, Etc.)

25,000
20,000






IRAs - 401Ks
100,000
25,000


Pension Plan
25,000








Life Insurance
1,000,000
250,000


Custodial Accounts for Children (UTMA)
20,000


John-Custodian





Totals
$ 1,172,000
$ 340,000
$ 620,000
$ 2,132,000









Fromhold Jaffe & Adams
Attorneys at Law
789 East Lancaster Avenue
Villanova, Pennsylvania 19085
610-527-9100
Fax 610-527-6549


© 2005-2006   Marc H. Jaffe 

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