Annex 11




BANK RECONCILIATION STATEMENT
For the Period ________________
--________--- (Date)

Barangay: __________________
Tel. No. : ___________________
Bank Name: _________________
Branch: ____________________
City/Municipality:_________________
Province: ______________________
Current Account No.______________

Particular Book Bank Explanatory Comment
Unadjusted Balances xxx xxx
Reconciling Items:


Check Issued not taken up:



By the Barangay
(xx)

By the Bank

(xx)
Check Issued Overstated:



By the Barangay
xx

By the Bank

xx
Check Issued Understated



By the Barangay
(xx)

By the Bank

(xx)
Deposits not taken up:



By the Barangay
xx

By the Bank

xx
Deposits Overstated:



By the Barangay
(xx)

By the Bank

(xx)
Deposit Understated:



By the Barangay
xx

By the Bank

xx
Bank Debit/Credit Memos,
Not take up by the
Barangay:



Debit Memo
(xx)

Credit Memo
xx

Other Reconciling Items



Adjusted Balances
xx xx


Prepared by:

_______________________
City/Municipal Accountant




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