Law Firm Affidavit of Financial Status

State of [State]

I, [Your Name], being duly sworn, depose and say as follows:

I am over the age of 18 years and competent to make this affidavit.
I am currently residing at [Your Address], in the County of [County], State of [State].
I am the [Chief Financial Officer] of [Your Company Name], and I have personal knowledge of the facts stated herein.
Attached hereto as Exhibit A is a true and correct copy of the financial statements of [Your Company Name] for the fiscal year ending [Year].
Based on my knowledge, the financial statements accurately reflect the financial status of [Your Company Name] as of the date indicated.

As of the date of this affidavit, to the best of my knowledge, information, and belief, the assets of [Your Company Name] consist of the following:

Cash and cash equivalents:	$ [0]
Accounts receivable:
Marketable securities:
Real property:
Personal property:
Other assets (specify):
Total assets:

As of the date of this affidavit, to the best of my knowledge, information, and belief, the liabilities of [Your Company Name] consist of the following:

Accounts payable:	$ [0]
Accrued expenses:
Notes payable:
Other liabilities (specify):
Total liabilities:

The net worth of [Your Company Name], calculated by subtracting the total liabilities from the total assets, is $ .

I declare under penalty of perjury that the foregoing is true and correct.

Executed this day of [Month], [Year].

[Your Name]

Acknowledgment

State of [State]

On this day of [Month], [Year], before me personally appeared [Your Name], known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument, the person, or the entity upon behalf of which the person acted, executed the instrument.

[Notary Public Name]

Notary Public

My Commission Expires: [Month, Day, Year]