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EXPENSE |
AVERAGE
|
|
RENT OR HOME MORTGAGE |
$___________ |
|
UTILITIES | |
|
Electricity |
$___________ |
|
Heating Fuel/Gas |
$___________ |
|
Water and Sewer |
$___________ |
| Cell Phones |
$___________ |
| Telephone (land line) |
$___________ |
|
Cable/Satellite |
$___________ |
|
Internet |
$___________ |
|
Trash |
$___________ |
|
HOME MAINTENANCE (repairs, lawn mowing, painting, etc.) |
$___________ |
|
FOOD |
$___________ |
|
NON-FOOD GROCERY ITEMS (laundry soap, diapers, toiletries, etc.) |
$___________ |
|
CLOTHING / SHOES (yearly average divided by 12) |
$___________ |
|
LAUNDRY / DRY CLEANING |
$___________ |
|
MEDICAL / DENTAL (do NOT include insurance premiums) |
$___________ |
|
TRANSPORTATION - include gas, oil, repairs |
$___________ |
|
INSURANCE (do NOT include any payroll deductions) | |
|
Homeowner's / Renter's (if not escrowed) |
$___________ |
|
Life |
$___________ |
|
Health ( medical, dental, vision, disability, etc.) |
$___________ |
|
Auto |
$___________ |
|
Other |
$___________ |
|
TAXES - do NOT include payroll deductions or those included with your mortgage payment, but do include property taxes |
$___________ |
|
INSTALLMENT PAYMENTS - only those you intend to keep | |
|
Automobile payment #1 |
$___________ |
|
Automobile payment #2 |
$___________ |
|
Other __________________________ |
$___________ |
|
Other __________________________ |
$___________ |
|
ALIMONY / MAINTENANCE (do NOT list if this is a payroll deduction) |
$___________ |
|
CHILD SUPPORT (do NOT list if this is a payroll deduction) |
$___________ |
|
OTHER EXPENSES | |
|
Daycare/Babysitting |
$___________ |
|
Postage |
$___________ |
|
Haircuts/Beauty Shop |
$___________ |
|
Pets |
$___________ |
|
School Supplies/Lunches/Expenses |
$___________ |
|
Charitable Contributions |
$___________ |
|
Tobacco (if applicable) |
$___________ |
|
Other __________________________ |
$___________ |
