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ANTICIPATED EXPENSES |
AVERAGE
|
| 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 __________________________ | $___________ |
