BANK RECONCILIATION STATEMENT OF GENERAL TRUST ACCOUNT AND OF EACH SPECIAL TRUST ACCOUNT
For quarter ended ____________________, 20 __________.
Information concerning my general trust account, number __________________________,
opened with (name and address of financial institution) __________________________.
Account balance, as shown on statement from financial institution: $________ ;
PLUS: sums not yet deposited: $________ ;
SUB-TOTAL: $________ ;
MINUS: outstanding cheques, bills of exchange and transfer slips: $________ ;
TOTAL: account balance after reconciliation: $________ ;
Balance, as shown in accounting register: $________ ;
DIFFERENCE: $________ .
Information concerning my special trust account, number __________________________,
opened with (name and address of financial institution) __________________________.
Account balance, as shown on statement from financial institution: $________ ;
PLUS: sums not yet deposited: $________ ;
SUB-TOTAL: $________ ;
MINUS: outstanding cheques, bills of exchange and transfer slips: $________ ;
TOTAL: account balance after reconciliation: $________ ;
Balance, as shown in accounting register: $________ ;
DIFFERENCE: $________ .
Information concerning all my trust accounts:
Total account balances after reconciliation: $________ .
IN WITNESS WHEREOF, I have signed in ____________________ on this __________ day of ____________________, 20 __________.
(certificate number of real estate broker)
(name and address of real estate broker)
______________________________________________________________
Signature of person authorized by real estate broker