Lodge/Home Association Name *

Report year *

BOOK BALANCE - SEPTEMBER 30

Deposits (receipts) July 1-Sept. 30

Transfers July 1-Sep. 30

TOTAL INCOME JULY 1-SEPT. 30

Checks (expenses) July 1-Sept. 30

Transfers July 1-Sep. 30

TOTAL EXPENSES

BOOK BALANCE - Sept. 30

BANK RECONCILIATION

BANK BALANCE - Sept. 30

Outstanding checks

Outstanding deposits

Total (should match book balance)

TOTAL ASSETS OF LODGE

Savings account balance

C.D. (1)

C.D. (2)

Other account balances

Lodge hall value

Other lodge asset value

TOTAL ASSETS OF LODGE

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