To,
__________
__________
__________
Dear Sir/Madam,
REQUEST FOR NET WORTH CERTIFICATE
I, __________, of __________, request you to examine my papers and, if you find them in order, issue a certificate of my net worth as on __________. The certificate is needed for __________.
My statement of assets and liabilities as on __________
I confirm that the statement above is my own, that it is true and complete to the best of my knowledge, and that I have disclosed all my liabilities. I understand that you will certify only what you are able to verify from the papers and the information I give you, that you may ask for more papers, and that any certificate you issue is yours and not mine. I will pay your professional fee as agreed with you.
Yours faithfully,
_________________
__________