| 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 = |
 |