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 __________________________ |
$___________ |
|
|
