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Bank Recon Format

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Appendix 95

DepEd Division A Office


Cash in Bank - Local Currency, Current Account
Monthly Reconciliation Statement
As of September 30, 201X

Particulars Agency Bank Explanatory Comment

Unadjusted Balances
Add/Deduct: Bank
Reconcilng Items
1. Unrecorded Deposit/
Deposit in transit
2. Errors which understates the
bank balance
3. Outstanding Checks
4. Errors which overstates the
bank balance

Add/Deduct: Agency Book


Reconcilng Items
1. Unrecorded Deposit
2. Cancelled Checks
3. Errors which understates the
book balance
4. Returned Check deposits
5. Errors which overstates the
book balance
6. Bank Charges
Adjusted Balances

Prepared by: Certified Correct:

_____________________________ _____________________________
(Name and Designation) Name and Designation
Date Date

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