| |
Month______ |
Month______ |
Month______ |
Month______ |
Month______ |
Month______ |
Total |
| Actual
Monthly Income |
| First Earner |
|
|
|
|
|
|
|
| Second Earner |
|
|
|
|
|
|
|
| Part-time |
|
|
|
|
|
|
|
| Social Security / Pension |
|
|
|
|
|
|
|
| Interest / Dividends |
|
|
|
|
|
|
|
| Rentals |
|
|
|
|
|
|
|
| Tax Refunds |
|
|
|
|
|
|
|
| Gifts / Bonuses |
|
|
|
|
|
|
|
| Sales Profits |
|
|
|
|
|
|
|
| TOTAL |
|
|
|
|
|
|
|
| Saving |
| Saving / Investment / Retirement |
|
|
|
|
|
|
|
| Actual Expenses |
| Housing |
| Rent / Mortgage / Second Mortgage |
|
|
|
|
|
|
|
| Property Taxes (if not in mortgage) |
|
|
|
|
|
|
|
| Electricity / Gas / Heating Oil |
|
|
|
|
|
|
|
| Water & Sewer |
|
|
|
|
|
|
|
| Telephone / Online Services |
|
|
|
|
|
|
|
| Garbage / Pest Control |
|
|
|
|
|
|
|
| Maintenance |
|
|
|
|
|
|
|
| Housekeeping Services |
|
|
|
|
|
|
|
| Food |
| Groceries |
|
|
|
|
|
|
|
| Lunches / Snacks / Beverages |
|
|
|
|
|
|
|
| School Lunches |
|
|
|
|
|
|
|
Transportation |
| Gasoline / Auto Maintenance |
|
|
|
|
|
|
|
| Bus / Metro / Parking / Tolls / Carpool |
|
|
|
|
|
|
|
| License Tags / Taxes |
|
|
|
|
|
|
|
| Insurance |
| Automobile |
|
|
|
|
|
|
|
| Home Owners / Renters |
|
|
|
|
|
|
|
| Medical / Life / Disability |
|
|
|
|
|
|
|
| Life and Disability |
|
|
|
|
|
|
|
| Clothing |
| Apparel / Shoes |
|
|
|
|
|
|
|
| Dry Cleaning / Laundry |
|
|
|
|
|
|
|
| Health Care |
| Physicians and Dentists |
|
|
|
|
|
|
|
| Medication / Prescriptions |
|
|
|
|
|
|
|
| Personal |
| Hair / Nails |
|
|
|
|
|
|
|
| Toiletries |
|
|
|
|
|
|
|
| Tobacco |
|
|
|
|
|
|
|
| Entertainment |
| Cable |
|
|
|
|
|
|
|
| Videos / Movies / Plays / Concerts |
|
|
|
|
|
|
|
| Vacation |
|
|
|
|
|
|
|
| Sports and Hobbies' Fees |
|
|
|
|
|
|
|
| Newspaper / Books / Magazines |
|
|
|
|
|
|
|
| Dining Out / Beverages |
|
|
|
|
|
|
|
| Gifts & Contributions |
| Religious / Charities |
|
|
|
|
|
|
|
| Birthdays / Holidays |
|
|
|
|
|
|
|
| Chaunkah / Christmas / Kwanza, etc. |
|
|
|
|
|
|
|
| Family |
| Child Care |
|
|
|
|
|
|
|
| Allowance |
|
|
|
|
|
|
|
| Music / Dance Lessons / Sports |
|
|
|
|
|
|
|
| Child Support / Alimony |
|
|
|
|
|
|
|
| Education |
| Tuition / Books / Supplies |
|
|
|
|
|
|
|
| Credit Obligations |
| Automobile Loans / Leases |
|
|
|
|
|
|
|
| Secured Loans |
|
|
|
|
|
|
|
| Unsecured Loans |
|
|
|
|
|
|
|
| Credit Card Payments |
|
|
|
|
|
|
|
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