Re-Create Bank Statement Template

URGENT PROJECT - MUST BE COMPLETED ASAP (1-2 DAYS MAX) I have a simple Bank Statement from Dec. to the end of Jan. I need this pdf file to be converted into a WORKING TEMPLATE where ALL of the data in the Whitespace can be changed, removed or added. Basically, I want to keep the General Outline and Template of this statement however want to be able to change the figures and data. I am going to attach a sample statement from the bank. I basically need it recreated as a blank slate that I can edit as need be. The file should be created using a software that I can edit (for example, MS Word or MS Excel etc...) Please provide details on which software you will use to create the "TEMPLATE". Preference will definitely be given to designers that can provide a quick MOCK-UP design which I can test in MS Word, Excel or other program. Thank you for your interest and I look forward to working with the winning bidder immediately.