C-73.1, r. 2 - By-law of the Association des courtiers et agents immobiliers du Québec

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SCHEDULE 12
(s. 122)
BANK RECONCILIATION STATEMENT OF GENERAL TRUST ACCOUNT AND OF EACH SPECIAL TRUST ACCOUNT
For quarter ended ____________________, 20 __________.
Information concerning my general trust account, number __________________________,
opened with (name and address of financial institution) __________________________.


Account balance, as shown on statement from financial institution: $________ ;

PLUS: sums not yet deposited: $________ ;

SUB-TOTAL: $________ ;

MINUS: outstanding cheques, bills of exchange and transfer slips: $________ ;

TOTAL: account balance after reconciliation: $________ ;

Balance, as shown in accounting register: $________ ;

DIFFERENCE: $________ .

Information concerning my special trust account, number __________________________,
opened with (name and address of financial institution) __________________________.


Account balance, as shown on statement from financial institution: $________ ;

PLUS: sums not yet deposited: $________ ;

SUB-TOTAL: $________ ;

MINUS: outstanding cheques, bills of exchange and transfer slips: $________ ;

TOTAL: account balance after reconciliation: $________ ;

Balance, as shown in accounting register: $________ ;

DIFFERENCE: $________ .

Information concerning all my trust accounts:

Total account balances after reconciliation: $________ .
IN WITNESS WHEREOF, I have signed in ____________________ on this __________ day of ____________________, 20 __________.
(certificate number of real estate broker)
(name and address of real estate broker)
______________________________________________________________
Signature of person authorized by real estate broker
O.C. 1865-93, Sch. 12.