Assets Verification Form

An assets verification form is used to determine the assets owned by an individuals and total amount they sum up to. The form is documentary evidence listing the various kinds of assets possessed by the person.

Sample Assets Verification form:

Name: First name ________ Middle name ___________ Surname___________

Address: Street address _________   City name ___________ State ___________

Postal code ____________

Date of birth: ______________

Occupation:  _____________

Home contact number: ___________     Work contact number: __________

Details of assets                                                          Valuation of assets

Balance in savings account                                                ________________

Fixed deposits                                                                  ________________

Shares and stocks owned ((net market value)                _________________

Life insurance sum assured                                           ________________

Real estate owned (net market value)                           ________________

Investments                                                                   ________________

Bonds                                                                           ________________

Monthly income                                                         ________________

Business profit (if applicable)                                    ________________

Dividends from shares                                               ________________

Cash in checking accounts                                       ________________

________________________________

Net valuation of assets                                           ___________________

I declare that the information provided above is accurate to the best of my knowledge.

______________

Signature of the candidate

Dated: _______________-

Category: Verification Forms