Explanation and Guide

Form:

Accounts Receivable Monthly Customer Statement

Purpose:

This form allows a company to keep track of accounts

receivable by customer and to monitor aging
information. The text in red and sections underlined
in red indicate terms and language that will be unique
to the particular circumstance (e.g. the name of a
company).

Notes:

The aging of accounts receivable involves an analysis

of the accounts where they are classified into not due
or past due. Past due accounts are further classified in
terms of the length of the period they are past due.

Name of Company
Address
Tel No
Accounts Receivable Monthly Customer Statement
Customer Name:

___________________________________________________________

Customer Address:

___________________________________________________________
___________________________________________________________
___________________________________________________________

Credit Limit:
Invoice
Number

________________
Invoice
Date

Product or Service
Description

0-30 Days
P

31-60 Days
P

61-90 Days
P

Over 90 Days
P

Total Balance Due:

Should you have any questions, please feel free to call us at this numbers. ___________,
___________
We would be very glad to assist you. If payment has been made, please disregard this
notice.
Prepared by:
_______________

Noted by:
_______________

Received by:
________________________
Signature over printed name