Edit, Download, and Sign the Personal Financial Statement Instructions

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How do I fill this out?

To fill out this form, start by gathering all necessary financial documents. Make sure to accurately report your assets and liabilities as outlined in the instructions. Finally, review your completed statement to ensure accurate information before submission.

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How to fill out the Personal Financial Statement Instructions?

  1. 1

    Gather required financial documents.

  2. 2

    Accurately report all assets.

  3. 3

    Detail all liabilities clearly.

  4. 4

    Review for accuracy and completeness.

  5. 5

    Submit to the appropriate agency.

Who needs the Personal Financial Statement Instructions?

  1. 1

    Socially disadvantaged business owners need this form to apply for DBE certification.

  2. 2

    Entrepreneurs seeking funding from federal programs require this statement for financial disclosure.

  3. 3

    Accountants use this form to help clients understand their financial standing clearly.

  4. 4

    Individuals applying for loans may need to submit this statement for financial evaluation.

  5. 5

    Financial advisors use this form to better guide their clients in asset management.

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    Upload your Personal Financial Statement PDF to PrintFriendly.

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What are the instructions for submitting this form?

To submit the Personal Financial Statement, email it to submit@mdot.gov. Alternatively, you can fax the document to (123) 456-7890 or submit it online via the MDOT website's submission portal. Physical submissions can be sent to MDOT, 123 Main St, Capital City, State, ZIP. Ensure submissions are made ahead of deadlines to avoid any issues.

What are the important dates for this form in 2024 and 2025?

For the year 2024, the submission deadlines for the Personal Financial Statement will be outlined by MDOT by the end of Q1. In 2025, ensure to keep an eye for any updates that are provided regarding these dates as they may be subject to change based on regulatory policies.

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What is the purpose of this form?

The Personal Financial Statement is designed to capture an individual's financial standing accurately. It plays a crucial role in the application process for federal assistance and certification programs, particularly for socially and economically disadvantaged businesses. By providing a detailed overview of assets and liabilities, this form helps determine eligibility for various financial assistance programs.

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Tell me about this form and its components and fields line-by-line.

The Personal Financial Statement consists of various components capturing your financial status, including assets, liabilities, and net worth calculations.
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  • 1. Cash on-hand & in banks: Total cash available in checking and savings accounts.
  • 2. IRA or other Retirement Accounts: Total value of all retirement accounts, including IRAs.
  • 3. Accounts & Notes Receivable: Total value of any monies owed personally.
  • 4. Life Insurance: Cash surrender value of life insurance policies.
  • 5. Real Estate: Fair market value of all owned real estate.
  • 6. Automobile: Current market value of all owned vehicles.
  • 7. Other Personal Property: Value of personal belongings not classified elsewhere.
  • 8. Ownership Interest in Firm: Value of one's stake in their business.
  • 9. Other Assets: Total value of any other assets owned.
  • 10. Total: Summation of all listed assets.
  • 11. Accounts Payable: Total unpaid liabilities.
  • 12. Notes Payable to Banks & Others: Total amount of outstanding bank and personal loans.
  • 13. Loans on Life Insurance: Outstanding loans against life insurance policies.
  • 14. Mortgages on Real Estate: Total amount of outstanding mortgages.
  • 15. Unpaid Taxes: Total taxes owed currently.
  • 16. Other Liabilities: Value of any additional liabilities.
  • 17. Equity in Primary Residence: Net equity calculated for the primary residence.
  • 18. Total Liabilities: Total sum of all liabilities.
  • 19. Net Worth: Calculated as Total Assets minus Total Liabilities.
  • 20. Total: Final total combining liabilities and net worth.

What happens if I fail to submit this form?

Failure to submit this form may lead to disqualification from funding opportunities and certification processes. It is crucial that all necessary information is provided to avoid delays in application. Not submitting this form on time could jeopardize your eligibility status.

  • Funding Delays: Applications may be delayed, hindering immediate financial support.
  • Disqualification: Potential loss of eligibility for DBE certifications if late.
  • Inaccurate Financial Assessment: Failure to provide accurate data misrepresents financial status.

How do I know when to use this form?

This form should be used when applying for federal funding where DBE certification is required. It is essential during the qualification phase for disadvantaged business programs. Understanding when to use this form ensures compliance with federal requirements.
fields
  • 1. DBE Certification Applications: Necessary for businesses seeking DBE recognition.
  • 2. Federal Loans and Grants: Required form for funding applications.
  • 3. Financial Evaluations: Utilized by financial departments during assessments.

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