Expense Worksheet

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ANTICIPATED EXPENSES

AVERAGE
MONTHLY COST

RENT OR HOME MORTGAGE $___________
HOME MAINTENANCE (repairs, lawn mowing, painting, etc.) $___________
UTILITIES
Electricity, Heat and Natural Gas $___________
Water, Sewer and Garbage $___________
Cell Phone and Telephone $___________
Internet $___________
Cable/Satellite $___________
FOOD AND HOUSEKEEPING SUPPLIES $___________
CHILD CARE $___________
CHILDREN’S EDUCATION COSTS $___________
CLOTHING, LAUNDRY AND DRY CLEANING $___________
PERSONAL CARE PRODUCTS AND SERVICES (haircuts, vitamins, beauty, hygiene, etc.) $___________
MEDICAL AND DENTAL EXPENSE (do NOT include insurance premiums)
$___________
TRANSPORTATION – include gas, oil, repairs
(do NOT include car payment or insurance)
$___________
ENTERTAINMENT, CLUBS, RECREATION AND SUBSCRIPTIONS $___________
CHARITABLE AND RELIGIOUS CONTRIBUTIONS $___________
INSURANCE (do NOT include any payroll deductions)
Homeowner’s / Renter’s (if not escrowed) $___________
Life $___________
Health (medical, dental, vision, etc.) $___________
Auto $___________
Other (disability, cancer, accidental death, etc.) $___________
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 AND SUPPORT PAID TO OTHERS (do NOT list if this is a payroll deduction) $___________
CHILD SUPPORT (do NOT list if this is a payroll deduction) $___________
MISCELLANEOUS
Pet Needs $___________
Postage $___________
Holidays and Birthdays $___________
Tobacco Products $___________
Other __________________________ $___________

CARBONDALE OFFICE

Phone: (618) 549-1100
Toll Free: (888) 522-6578
Fax: (618) 549-0141
Contact Us
Map and Directions

Mailing Address:
Bankruptcy Clinic, PC
811 W. Main Street
Carbondale, IL 62901

MARION OFFICE

Phone: (618) 993-1300
Toll Free: (888) 522-6578
Fax: (618) 993-0713
Contact Us
Map and Directions

Mailing Address:
Bankruptcy Clinic, PC
206 W. DeYoung Street
Marion, IL 62959

MT. VERNON OFFICE

Phone: (618) 315-6600
Toll Free: (877) 621-2894
Fax: (618) 315-6603
Contact Us
Map and Directions

Mailing Address:
Bankruptcy Clinic, PC
2006 Broadway
Mt. Vernon, IL 62864