Knowing Where You Stand

Cash Flow Statement I

Month ________________________

INCOME

 
Salary and wages $
Bonuses, commissions, tips $
Self-employed income $
Interest and dividends $
Alimony/child support received $
Gifts received $
Pension income $
Social Security income $
Public Assistance and/or unemployment $
Disability benefits $

Other income:

$

TOTAL INCOME

$

 

OUTFLOW

 

Savings/investing

$

Federal & state taxes

$

Mortgage or rent

$

Home repair/maintenance

$

Property taxes

$

Disability insurance

$

Life insurance

$

Home/renter's insurance

$

Auto insurance

$

Credit card/loan payment

$

Utilities & telephone

$

Food (include dining out)

$

Clothing

$

Grooming

$

Gasoline

$

Auto repair/maintenance

$

Other transportation

$

Medical care

$

Education

$

Child care

$

Alimony/child support

$

Entertainment

$

Vacations

$

Gifts/charitable contribution

$

Laundry/cleaning

$

Other:

$

TOTAL OUTFLOW

$

CASH BALANCE
(Income less Outflow)


$

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IT IS IMPORTANT that our customers understand that products and services made available through Osaic Institutions, Inc.
  • ARE NOT A DEPOSIT
  • ARE NOT FDIC-INSURED
  • ARE NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY
  • ARE NOT GUARANTEED BY THE BANK
  • MAY GO DOWN IN VALUE
Any questions about this should be taken up with an Osaic Institutions,Inc Representative or any bank officer.

Important information about procedures for opening a new account

To help the government fight the funding of Terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account.

What this means to you: When you open an account, we will ask you for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

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