Personal Financial Statement - Texas Department Of Banking Page 3

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Texas Department of Banking
Cash Flow Statement
Name: _________________________________________
Provide the following information regarding sources and uses of cash during the last two years, the current year, and a projected year.
Current
Projected
Sources of Cash
20____
20____
_______ to _______
__________
Salaries, Wages,
Commissions, Bonuses, or
Other income from
Employment (Net of
Deduction)
Dividends
Interest
Royalties
Cash Received from
Individual Businesses,
Partnerships, or Joint
Ventures
Real Estate
Other*
Total Cash Received
$ 0
$ 0
$ 0
$ 0
Current
Projected
Uses of Cash
20____
20____
_______ to _______
__________
Personal Expenses
(Management, Rent and
Household, etc.)
Bank Loan – Principal and
Interest
Insurance Payments
Income Taxes Not Covered
by Withholding
Other*
Total Cash Outlays
$ 0
$ 0
$ 0
$ 0
Cash Flow Surplus
$ 0
$ 0
$ 0
(Deficit)
$ 0
*Itemize any items amounting to 10% or more of total income on a separate page.
CORP-G01 (7/14)
Texas Department of Banking
3

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