This is the form you use.

yes, i only need to complete a Bank Reconciliation statment from the checkbook records and bank statement.

7. Using the form on page 121. prepare a bank reconciliation for Kali Loi from the following checkbook records and bank statement. Bar PLEASE BE SURE TO DEDUCT ANY BANK CHARGES THAT APPLY TO YOUR ACCOUNT CHECK AMOUNT OF AMOUNT OF BALANCE FORWARD NUMBER DATE DESCRIPTION OF TRANSACTION PAYMENT OR DEPOSITOR WITHORAWAL ) INTEREST (+) 879 36 801 10/1 To H & H Jewelers 23677 For 64259 10/6 To Deposit 45075 For Bal 1,093 34 802 10/8 TO Z.Z. Bear 4720 For Bal. 1046 14 803 10/10 To Cask 75 89 For Bal. 970 25 | 10/13 To Deposit 880 34 For Bal. 1.85059 804 10/13 To Four Seasons Hotel 109 00 For Bal 174159 805 10/15 To American Express 507 82 . For Bal 1233 77 10/20 TO ATM Withdrawal 120 00 For Bal 113 77 623 50 10/24 To Deparit (10/27 to Deposit For Bal 173727 208 40 For Bal 1,94567 10/28 To Home Depot - Debit Card 1825 For Bal. 1.897 42 STATEMENT DATE 11-2-20xx CHECKING ACCOUNT SUMMARY 10-1-20xx THRU 10-31-20xx ACCOUNT NUMBER 449-56-7792 Previous Balance Current Balance Deposits & Credits Checks & Debits Number Total Number Total 3 1,954.59 7 1,347.83 879.36 1,486.12 CHECKING ACCOUNT TRANSACTIONS DATE AMOUNT 10-3 10-6 10-10 10-13 10-15 10-17 10-22 10-24 10-28 10-30 236.77 450.75 324.70 880.34 75.89 507.82 120.00 623.50 48.25 34.40 DESCRIPTION Check #801 Deposit Returned Item EFT Payroll Deposit Check #803 Check #805 ATM Withdrawal Deposit Debit Card Purchase Check Printing Charge BALANCE 642.59 1,093.34 768.64 1,648.98 1,573.09 1,065.27 945.27 1,568.77 1,520.52 1,486.12 Checks Outstanding No. Amount $ $ CHECKBOOK BALANCE Add: Interest Earned & Other Credits STATEMENT BALANCE Add: Deposits in Transit SUBTOTAL Deduct: Service Charges & Other Debits ADJUSTED CHECKBOOK BALANCE SUBTOTAL Deduct: Outstanding Checks ADJUSTED STATEMENT BALANCE Total Reconciled Balances