PROOF OF CASH WORKSHEET
10001
Company: _______
CONTROL NO.
Account: _________________________
Month ended:
________
Beginning Period
Bank Reconciliation
(_____________)
Description
Balance per Bank:
Deposits in transit:
Prior month
Current month
Outstanding Checks:
Prior month
Current month
Name: ___________________________
Monthly Receipts
(1)
(1)
(2a) +
*
(2a) (2b) +
(3a) -
Ending Period
Bank Reconciliation
(____________)
Monthly Disbursements
(1)
(1)
(2b) +
(3a) (3b) +
(3b) -
ADJUSTED BALANCE
(4)
(4)
(4)
(4)
Balance per Books:
(5)
(5)
(5)
(5)
Monthly Service charge:
(6)
+
(6)
-
NSF Checks returned:
(7)
-
(7)
-
Bank transfers, errors in
recording, other adjustments
(8) +/ -
Interest posted, by bank:
(9) +
(10)
(8) +/ -
(8) +/ (9) +
ADJUSTED BALANCE
(10)
(should equal line 4)
*No entry in shaded areas
**Please attach a copy of the bank statement for the last column’s information (at end of fiscal period).
(10)
(10)
SAMPLE FORM
Completed by:________________________________________
(typed or printed)
Approved by: _____________________________________________
(typed or printed)
Signature _____________________________________________
Signature ________________________________________________
Title: _________________________ Date: _________________
Title: ____________________________
Date: ________________