SUMMARY OF DEPOSITS AND WITHDRAWALS FROM THE GENERAL TRUST ACCOUNT AND FROM THE SPECIAL TRUST ACCOUNTS
For the quarter covering the period from ____________________, 20 __________ to ____________________ 20 __________.
Information concerning my general trust account:
Account balance, as shown in accounting register
at beginning of quarter: $______ ;
PLUS: Total sums deposited during the quarter: $______ ;
MINUS: Total sums withdrawn during the quarter: $______ ;
Account balance as shown in accounting register at end of quarter: $______ .
Information concerning all my special trust accounts:
Account balances, as shown in accounting registers
at beginning of quarter: $______ ;
PLUS: Total sums deposited during the quarter: $______ ;
PLUS: Total interest deposited during the quarter: $______ ;
MINUS: Total sums withdrawn during the quarter: $______ ;
MINUS: Total interest withdrawn during the quarter: $______ ;
Account balances, as shown in accounting registers at end of quarter: $______ ;
Information concerning all my trust accounts:
Total balances of accounting registers at end of quarter: $______ .
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