Form Da 3072 2 PDF Details

Filling out the DA Form 3072-2, known as the Applicant's Monthly Financial Statement, is a crucial step for individuals undergoing certain administrative procedures as outlined in AR 601-210, with the overseeing body being ODCSPER. This form requires applicants to provide a comprehensive overview of their financial situation, including details such as personal identity information, dependents' residence during separation from the applicant, current income from all sources, liabilities and expenditures, assets, and any additional remarks that could influence the evaluation of their financial stability. The document segments financial obligations and resources into two main categories: those against personal income and those against potential military income, thereby offering a detailed snapshot of the applicant’s financial health and capabilities. Instructions also guide applicants on how to account for various forms of income, including salary from last employment if currently unemployed, spouse's salary, and anticipated income if enlistment is approved. Moreover, the form provides space for disclosing assets like savings, furniture, vehicles, and other valuable items. Completing this form accurately is vital, as it includes a declaration that all information provided is true and incorporates all known financial obligations and future demands against the applicant's income. By signing the document, the applicant attests to the veracity of the information, which is then used to make informed decisions regarding their application process.

QuestionAnswer
Form NameForm Da 3072 2
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform monthly statement, da 3072, monthly statement odcsper make, how to monthly financial statement

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APPLICANT'S MONTHLY FINANCIAL STATEMENT

DATE

 

 

 

 

 

For use of this form, see AR 601-210; the proponent agency is ODCSPER

 

 

1. LAST NAME, FIRST NAME, MIDDLE INITIAL

 

 

2. RESIDENCE OF DEPENDENTS WHILE SEPARATED FROM APPLICANT

 

 

 

 

 

 

 

 

3.

CURRENT INCOME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary 1

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other income (current) 2

 

$

 

source

 

 

 

 

Other income (if enlisted) 3

 

$

 

source

 

 

 

4a.

Liabilities to apply against above income

4b. Liabilities to apply against military income

 

 

 

 

 

 

 

 

 

Rent

 

$

Rent or house notes

 

$

 

 

 

 

 

 

 

 

 

Utilities

 

 

Utilities

 

 

 

 

 

 

 

 

 

 

 

Food

 

 

Food

 

 

 

 

 

 

 

 

 

 

 

Medical

 

 

Clothing

 

 

 

 

 

 

 

 

 

 

 

Clothing

 

 

Insurance (Life)

 

 

 

 

 

 

 

 

 

 

 

Insurance (Life)

 

 

Insurance (Auto)

 

 

 

 

 

 

 

 

 

 

 

Insurance (Auto)

 

 

Car operating expenses

 

 

 

 

 

 

 

 

 

 

 

Car operating expense

 

 

Car notes

 

 

 

 

 

 

 

 

 

 

 

Car notes

 

 

Payment on other debts4

 

 

 

 

 

 

 

 

 

 

 

Payment on other debts 4

 

 

Other indebtedness or financial obligations

 

 

 

 

 

 

 

 

 

 

Other indebtedness or financial obligations

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

$

TOTAL

 

$

 

 

 

 

 

 

 

 

 

5.

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

$

Rooms of furniture owned

 

 

 

 

 

 

 

 

 

 

 

Bonds, stocks, etc.

 

 

Number of vehicles

 

 

 

 

 

 

 

 

 

 

 

 

Furniture

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motor vehicles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other assets

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

$

 

 

 

 

 

 

 

 

 

 

 

 

6.

ADDITIONAL INFORMATION OR REMARKS

(In the event a move of dependents is indicated, include information as to disposition of furniture, if applicable, any other information you

feel is pertinent to your current and future financial stability.)

The above is true to the best of my knowledge, and includes all current and known future obligations and/or demands against my income.

WITNESSED

SIGNATURE OF APPLICANT

 

 

1 If applicant is currently unemployed, indicate salary for last employment and employment termination date.

2 Indicate additional current monthly income including spouse's salary, if employed. If income is from more than one source, indicate each source and amount of that source.

3 Indicate anticipated income other than military salary if enlistment is approved.

4 See item 23, DA Form 3072-1.

DA FORM 3072-2, JUL 1975

PREVIOUS EDITION IS OBSOLETE

APD LC v2.00ES

 

 

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