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It is a misdemeanor to make any willful misstatement of material fact in completing this form. (Pen. HELP WITH FILLING OUT THE Personal Financial Statement."I want to file a Statement of Assets and Liabilities". 4. Show carrying value of assets sold less total sales proceeds. B. Provide copy of broker's statement or signed settlement sheet as verification. VIII. A complete description of these assets is required in Section 5. LIABILITIES. I. Statement of Assets and Liabilities. Statement must be completed and should reflect accurate statements and amounts. A balance sheet is a statement of a business's assets, liabilities, and owner's equity as of any given date. A balance sheet is a financial statement that reports a company's assets, liabilities and shareholder equity at a specific point in time.