| Total Monthly Gross Income |
|
$______________ |
| - Taxes, Health Ins. & Other Payroll Deductions |
$__________ |
|
| - Savings, 401K, etc. |
$__________ |
|
| = Total Monthly 'Spendable' Income
|
|
$______________
|
|
____________________________________________________________________________
|
| Housing Expenses |
Monthly Payments |
|
| Rent or Mtg. |
$__________ |
|
| Utilities |
$__________ |
|
| Insurance (set $ aside each month if paid annually) |
$__________ |
|
| Repairs (set $ aside for future expenses) |
$__________ |
|
| Taxes (set $ aside if paid annually) |
$__________ |
|
| = Total
|
$__________
|
|
| Car Expenses |
|
|
| Loan Payment(s) |
$__________ |
|
| Gas |
$__________ |
|
| Insurance (set $ aside if paid annually) |
$__________ |
|
| Maintenance & Repairs (set $ aside for future expenses) |
$__________ |
|
| = Total
|
$__________
|
|
| Debts |
|
|
| Creditor #1_____________ Balance_________ |
$__________ |
|
| Creditor #2_____________ Balance_________ |
$__________ |
|
| Creditor #3_____________ Balance_________ |
$__________ |
|
| Creditor #4_____________ Balance_________ |
$__________ |
|
| (figure more on back if needed) |
|
|
| = Total
|
$__________
|
|
| Miscellaneous |
|
|
| (Set $ aside each month for annual expenses, such as Ins.) |
|
|
| Church Tithes & Offerings |
$__________ |
|
| Other Charitable Contributions |
$__________ |
|
| Groceries, Lunches, Meals Out |
$__________ |
|
| Childcare |
$__________ |
|
| School Tuition/Supplies |
$__________ |
|
| Medical Bills and CoPays |
$__________ |
|
| Prescription Medicines |
$__________ |
|
| Pet Supplies & Vet Exams |
$__________ |
|
| Entertainment, Cable, Video Rentals |
$__________ |
|
| Club Dues (Homeowner's Assoc., Fitness, etc...) |
$__________ |
|
| Newspaper, Magazine Subscriptions |
$__________ |
|
| Clothing |
$__________ |
|
| Haircuts |
$__________ |
|
| Gifts |
$__________ |
|
| Cash |
$__________ |
|
| Other (continue on back if needed) |
$__________ |
|
| = Total
|
$__________
|
|
| Monthly Expense Totals |
|
|
| Housing |
$__________ |
|
| Car |
$__________ |
|
| Debts |
$__________ |
|
| Miscellaneous |
$__________ |
|
| = Total Expenses |
$__________ |
|
|
____________________________________________________________________________
|
|
|
|
| Monthly Surplus or Shortage |
|
$______________ |
| (Total Spendable Income minus Total Expenses) |
|
