| Monthly gross income |
$
|
| Add: Any additional income (child support etc.) |
$
|
| Total Monthly Gross Income |
$
|
| Subtract: Taxes, Health Ins. & Other Payroll Deductions |
$
|
| Subtract: Savings, 401K, etc. |
$
|
| |
| MONTHLY EXPENSES |
| Rent or Mortgage |
$
|
| Utilities |
$
|
| Insurance |
$
|
| Repairs |
$
|
| Taxes |
$
|
| Total Housing Expenses |
$
|
| Loan Payment (s) |
$
|
| Gas |
$
|
| Insurance |
$
|
| Maintenance & Repair |
$
|
| Total Car Expenses |
$
|
| Creditor #1
|
Balance $
|
$
|
| Creditor #2
|
Balance $
|
$
|
| Creditor #3
|
Balance $
|
$
|
| Creditor #4
|
Balance $
|
$
|
| Total Credit Card & Other Debt |
$
|
| Charitable Contributions |
$
|
| Groceries, Lunches, Meals Out |
$
|
| Childcare/Support |
$
|
| School Tuition/Supplies |
$
|
| Medical Bills & CoPays |
$
|
| Prescription Medicines |
$
|
| Pet Supplies & Vet Exams |
$
|
| Entertainment, Cable, Video Rentals |
$
|
| Club Dues |
$
|
| Newspapers, Magazine Subscriptions |
$
|
| Clothing |
$
|
| Haircuts |
$
|
| Gifts |
$
|
| Other |
$
|
| Total Miscellaneous |
$
|
| Total monthly expenses |
$
|
| Monthly Surplus or Shortage |
$
|