Checking Account Reconciliation Form

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CHECKING ACCOUNT RECONCILIATION FORM
Outstanding Checks
NUMBER
AMOUNT
Ending Balance
Shown On Statement
Plus Deposits Not
Shown On Statement
Sub-Total
Less Total Outstanding Drafts
Equals Adjusted Ending Balance
Adjusted ending balance shown above should agree with
the balance shown in your check book.
Note: Be sure to deduct any charges, fees or withdrawals
shown on your statement (but not in your check book) that
may apply to your account. Also, be sure to add any
dividends or any deposits shown on your statement (but
not in your check book) that apply to your account.
TOTAL

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