Monthly Expenses Form Page 2

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ASSETS AND INCOME
No.
Description of Assets (include assets in foreign country)
Amount / Value
S$
Property
1
HDB Flat: _______ rooms
Private Apartment
Others: ______________
2
Securities (examples: Shares, Bonds)
a. _______________________________
b. _______________________________
c. _______________________________
3
Bank Accounts
a. Bank: POSB / DBS / UOB / OCBC / _______________
Type: Savings / Fixed Deposit / _____________________
Account Number: __________________________________
b. Bank: POSB / DBS / UOB / OCBC / _______________
Type: Savings / Fixed Deposit / ____________________
Account Number: __________________________________
c. Bank: POSB / DBS / UOB / OCBC / _______________
Type: Savings / Fixed Deposit / _____________________
Account Number: __________________________________
4
Vehicle
Registration Number
: _________________________________
Type
: Car / Motorcycle / Van / ___________
Make
: _____________________ Year ________
5
Other sources of Income
(examples: Rental proceeds, interests, commissions, dividends)
a. _______________________________
b. _______________________________
c. _______________________________
TOTAL
$
I declare the information as true and correct.
Signature: _____________________________
Date: _________________________

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