BANK RECONCILIATION STATEMENT

As at __________________
(Date)

SK of Barangay: Bank Name:

City/Municipality: Branch:
Province: Current Account No.:
Amount
Particulars Explanatory Note
RCB Bank
Unadjusted Balances
Reconciling Items:
Checks Issued not taken up:
In the Books
By the Bank
Checks Issued Overstated:
In the Books
By the Bank
Checks Issued Understated:
In the Books
By the Bank
Deposits not taken up:
In the Books
By the Bank
Deposits Overstated:
In the Books
By the Bank
Deposits Understated:
In the Books
By the Bank
Bank Debit/Credit Memos not taken up
in the Books:
Debit Memo
Credit Memo
Other Reconciling Items:
Adjusted Balance - -

Prepare and Certified Correct by: Approved by:

(Signature over Printed Name) (Signature over Printed Name)

SK Treasurer SK Chairperson

(Date) (Date)