| CATEGORY | CURRENT VALUE | |
| ASSETS: |   | |
| Cash in Savings Accounts |   | |
| Cash in Checking Accounts |   | |
| Certificates of Deposit (CDs) |   | |
| Cash on Hand |   | |
| Money Market Accounts |   | |
| Money Owed to Me (Rent Deposits, etc.) |   | |
| Cash Value of Life Insurance |   | |
| Savings Bonds (current value) |   | |
| Stocks |   | |
| Bonds |   | |
| Mutual Funds |   | |
| Vested Value of Stock Options |   | |
| Other Investments |   | |
| Individual Retirement Accounts (IRAs) |   | |
| Keogh Accounts |   | |
| 401(k) or 403(b) Accounts |   | |
| Other Retirement Plans |   | |
| Market Value of Your Home |   | |
| Market Value of Other Real Estate |   | |
| Blue Book Value of Cars/Trucks |   | |
| Boats, Planes, Other Vehicles |   | |
| Jewelry |   | |
| Collectibles |   | |
| Furnishings and Other Personal Property |   | |
| Other |   | |
| TOTAL ASSETS |   | |
|   |   | |
| LIABILITIES: |   | |
| Mortgages |   | |
| Car Loans |   | |
| Bank Loans |   | |
| Student Loans |   | |
| Home Equity Loans |   | |
| Other Loans |   | |
| Credit Card Balances |   | |
| Real Estate Taxes Owed |   | |
| Income Taxes Owed |   | |
| Other Taxes Owed |   | |
| Other Debts |   | |
| TOTAL LIABILITIES |   | |
|   |   | |
| NET WORTH (TOTAL ASSETS LESS TOTAL LIABILITIES) |   |
GO TO "The Net Worth Statement: A Financial Snapshot".
