[Your Business Name] [Statement Date]

[Your Business Address]

[Your Business City, State, and ZIP Code] [Your Business Phone]

Statement of Account

[Customer's Name]
[Customer's Address]
[Customer's City, State, and ZIP Code]
Account
Date Description Charges Credits Balance

Previous Balance $0.00

$0.00 #NAME?

$0.00 #NAME?

$0.00 #NAME?

$0.00 #NAME?

$0.00 #NAME?

Ending Balance: [Statement Date] #NAME?

Balance Due: [Date]

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