| | | | | | | | |
| | Assets | | Liabilities | |
| | Cash In Bank | $ | | | Notes Payable - Bank | $ | |
| | Cash in Savings | $ | | | Notes Payable - Other | $ | |
| | Stocks, Bonds, Mutual Funds | $ | | | Charge Accounts | $ | |
| | IRAs, 401Ks, Other Retirement Plans | $ | | | Credit Cards | $ | |
| | Cash Value of Life Insurance | $ | | | Owning on Life Insurance | $ | |
| | Real Estate Value - Home | $ | | | Mortgage - Home | $ | |
| | Real Estate Value - Other | $ | | | Mortgage - Other | $ | |
| | Automobiles | $ | | | Due on Automobiles | $ | |
| | Vehicles - Other | $ | | | Due on Vehicles - Other | $ | |
| | Business - Value | $ | | | Other Liabilities (List Below) | | |
| | Appraised Collectibles | $ | | | | $ | |
| | Money Owed to You | $ | | | | $ | |
| | Other Assets (List Below) | | | | | $ | |
| | | $ | | | | $ | |
| | | $ | | | | $ | |
| | | $ | | | | $ | |
| | Total Assets | $ | | | Total Liabilities | $ | |
| | | | |
| | (Net Worth = Total Assets minus Total Liabilities) | | Net Worth | $ | |
| | | | | | | | |