Income

Take Home Pay/All family members

Child Support/Alimony

Pension/Social Security

Disability/Other Insurance

Interest/Dividends

Other

Total Income

Expenses

Rent/Mortgage (include taxes, principal, and insurance)

Life Insurance

Health/Disability Insurance

Vehicle Insurance

Homeowners or Other Insurance

Car Payments

Other Loan Payments

Savings/Pension Contribution

Utilities (gas, water, electric, phone)

Credit Card Payments

Car Upkeep (gas, maintenance)

Clothing

Personal Care Products (shampoo, shaving cream, etc.)

Groceries

Food prepared outside the home (restaurant meals and carry out)

Medical/Dental/Prescriptions

Household Goods (hardware, lawn and garden)

Recreation/Entertainment

Child Care

Education (continuing education, lessons for children)

Charitable Donations

Miscellaneous

Total Expenses =

Remaining Income After Expenses =