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{"sheet":"Balance Sheet -Visual","index":0,"n_rows":79,"n_cols":5,"rows_kept":79,"cut":false,"hidden":false,"merged":[[78,1,88,5],[75,2,75,5],[6,0,6,5],[12,1,12,5],[9,0,9,5]]}
["FFTTM Balance Sheet assessment"]
[null,"Required elements are underlined."]
[]
["Client Name: ______________________________________________________"]
["Assessment Date: ______________________"]
[]
["Do you want the balance sheet to reflect just your own finances or the finances of your whole household? (Note to participants: please make sure all of your answers for this Balance Sheet assessment stay consistent with your response to this question.)"]
[null,"___ Balance sheet reflects participant only or a household of one"]
[null,"___ Balance sheet reflects whole household"]
["Is this the first balance sheet created for this participant?"]
[null,"___ Yes"]
[null,"___ No* "]
[null,"Is this a partial or complete update of the balance sheet?"]
[null,null,null,"___ Partial update"]
[null,null,null,"___ Complete update"]
[]
[null,"Assets"]
[null,null,null,"Checking Account(s) (total balance)","$"]
[null,null,null,"Savings Account(s) (total balance)","$"]
[null,null,null,"Cash - not in any type of account (total balance)","$"]
[null,null,null,"Vehicle 1 (market value)","$"]
[null,null,null,"Vehicle 2 (market value)","$"]
[null,null,null,"Vehicle 3, 4, 5, etc. (combined market value)","$"]
[null,null,null,"Primary Residence (market value)","$"]
[null,null,null,"Real Estate - other than Primary Residence (market value)","$"]
[null,null,null,"Stocks, Bonds, Mutual Funds, and Similar Assets (total value)","$"]
[null,null,null,"IRA/Retirement Accounts (total value)","$"]
[null,null,null,"College Savings Account - 529 or Other (total value)","$"]
[null,null,null,"Business (estimated market value)","$"]
[null,null,null,"Other Assets (including cash value of life insurance, etc.)","$"]
[null,null,null,"Total Assets",{"$f":"SUM(E18:E30)","v":0}]
[]
[null,"Liabilities"]
[null,null,"Housing Liabilities"]
[null,null,null,"Mortgage(s) - Primary Residence (combined loan balance)","$"]
[null,null,null,"HELOC(s) - Primary Residence (portion used)","$"]
[null,null,null,"Real Estate - other than Primary Residence (combined loan balance)","$"]
[null,null,null,"Total Housing Liabilities",{"$f":"SUM(E35:E37)","v":0}]
[null,null,"Transportation Liabilities"]
[null,null,null,"Vehicle 1 (loan balance)","$"]
[null,null,null,"Vehicle 2 (loan balance)","$"]
[null,null,null,"Vehicle 3, 4, 5, etc. (combined loan balance)","$"]
[null,null,null,"Total Transportation Liabilities ",{"$f":"SUM(E40:E42)","v":0}]
[null,null,"Credit Cards/Other Loan Balances"]
[null,null,null,"CC1, CC2, CC3, etc.  (combined balance)","$"]
[null,null,null,"Student Loans(s) (total balance)","$"]
[null,null,null,"Consumer Loans(s) (total balance)","$"]
[null,null,null,"Business Loan(s) (total balance)","$"]
[null,null,null,"Informal Loan(s) - money owed to family, friends, etc. (total balance)","$"]
[null,null,null,"Total Credit Cards/Other Loan Balances ",{"$f":"SUM(E45:E49)","v":0}]
[null,null,"Unpaid Bills (not in collections/not charge-offs)"]
[null,null,null,"Unpaid Utilities (total balance)","$"]
[null,null,null,"Unpaid Rent (total balance)","$"]
[null,null,null,"Unpaid Medical Bills (total balance)","$"]
[null,null,null,"Money Owed to Banks and/or Credit Unions - i.e., bank overdrafts, bounced checks (total balance)","$"]
[null,null,null,"Other Unpaid Bills (total balance)","$"]
[null,null,null,"Total Unpaid Bills (not in collections)",{"$f":"SUM(E52:E56)","v":0}]
[null,null,"Collections/Charge-offs/Judgments"]
[null,null,null,"Medical Collections/Charge-Offs Only (total balance)","$"]
[null,null,null,"All Other Collections/Charge-Offs (total balance)","$"]
[null,null,null,"Child Support in Arrears (total balance)","$"]
[null,null,null,"Back Taxes Owed (total balance)","$"]
[null,null,null,"Other Public Records (not including Child Support Arrears and Back Taxes) (total balance)","$"]
[null,null,null,"Total Collections/Charge-Offs/Judgments",{"$f":"SUM(E59:E63)","v":0}]
[]
[null,"Balance Sheet Calculations (auto calculated by system) [header]"]
[]
[null,null,null,"Total Assets ",{"$f":"E31","v":0}]
[null,null,null,"Total Liabilities",{"$f":"E38+E43+E50+E57+E64","v":0}]
[null,null,null,"Total Net Worth",{"$f":"E68-E69","v":0}]
[null,null,null," "]
[]
[null,"Notes"]
[]
[]
[]
[]
[]
[null,"_______________________________________________________________________________________________\nFFT™ is a registered mark of, and FFT™ templates are proprietary to, Local initiatives Support Corporation.  FFT™ includes certain methodology that is confidential and proprietary to Project Match-Families in Transition Association, including specifically the method by which one-time outcomes and over-time outcomes are distinguished, tracked, and entered (including, without limitation, the usage of the status codes such as “beginning”, “interim”, and “end” or terms that embody similar concepts).  You may not disseminate information pertaining to FFT™ or any component thereof (including without limitation third party methodologies) to unauthorized individuals nor embody any component of the FFT™ templates in any products or exploit the same in any way.”  \n© Local Initiatives Support Corporation 2012. This work is protected by United States copyright law. Apart from any use as permitted by the U.S. Copyright Act, no part of this document may be reproduced, distributed, transmitted, or published without the express written permission of Local Initiatives Support Corporation. You may not alter or remove any copyright notice or proprietary legend contained in or on this document.\nLocal Initiatives Support Corporation does not guarantee the accuracy, completeness, or usefulness of any content in this document or its fitness for any particular purpose."]