PF-G (Page 1 of 2)
PERSONAL FINANCIAL STATEMENT ASSIGNMENT (D)
Using the information and instructions given below, prepare a personal financial statement (to be turned in) on the separate form provided.
NOTE: If you are single, complete all information in Section 1, using your own name, address, and so forth. If you are married, also complete Section 2 for your spouse.
Assume the following:
1. You have cash on hand of $130.00 and a balance of $940.00 in your checking account.
2. You have $1,800.00 in a savings account and a savings certificate in the amount of $4,000.00.
3. You have U.S. Government Bonds totaling $1,750.00 and listed and OTC stocks with a present value of $6,280.00.
4. You own 50 shares of stock in a closely held family corporation of which your father is president. He recently told you that the stock has a book value of $145.00 per share.
5. You own a one-fourth interest in a summer home with your three brothers. You feel this property is worth at least $80,000. (There is no mortgage on the property.)
6. You are buying your own home. You feel it is worth approximately $270,000 and you have a mortgage loan balance owing on it of $153,600.
7. You loaned $1,500.00 to one of your brothers for medical expenses. You feel that he will eventually repay you.
8. You own personal property as follows:
a. Two autos worth $21,600.00 (Total). One has a bank loan on it with a present balance of $10,750.00.
b. Pick-up truck and camper worth $16,800.00 (Total). There is a loan owing to your Credit Union of $7,200.00.
c. All other personal property (furniture, camera and stereo equipment, jewelry, gun collection, etc.) is valued at $22,300.00.
9. You are participating in a 401(k) retirement plan at your work. The amount that is fully vested is $29,182.00.
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PERSONAL FINANCIAL STATEMENT ASSIGNMENT (D) continued
10. You have two life insurance policies, described as follows:
Type Amount Cash Value Beneficiary
Term $250,000.00 none Spouse (or parent)
Whole Life $100,000.00 $6,100.00 Spouse (or parent)
11. You have an unsecured 90-day note with your bank in the amount of $5,500.00.
12. You owe $2,100.00 on credit cards and $2,900.00 on an open account with a furniture store.
13. Due to an addition error on your last year’s income taxes, you were just notified by the IRS that you owe an additional $562.00 in taxes.
14. Your income for the last year was as follows:
Salary and Commissions $54,500.00
Stock Dividends $ 350.00
Interest on Savings $ 110.00
NOTE: If you are married, assume your spouse works part-time and also show his/her income of $14,900.00
15. You recently co-signed a loan for your daughter (or sister) in the amount of $8,200.00 to help her purchase a used car.
16. You do have a will and your spouse (or parent) is the personal representative /executor.
17. You do not have any alimony or child support payments to make.
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FINSTAT.F06 AMA