| MONTHLY INCOME |
| Take-Home Pay: |
______________________________________________ |
| Other Reliable Income Sources: |
______________________________________________ |
| TOTAL MONTHLY INCOME: |
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MONTHLY EXPENSES |
| Food, Household Items: |
______________________________________________ |
| Car or Other Loans: |
______________________________________________ |
| Credit Cards: |
______________________________________________ |
| Clothing: |
______________________________________________ |
| Medical Expenses: |
______________________________________________ |
| Life Insurance: |
______________________________________________ |
| Other Insurance (Auto, Health): |
______________________________________________ |
| Telephone: |
______________________________________________ |
| Commuting: |
______________________________________________ |
| Education: |
______________________________________________ |
| Savings: |
______________________________________________ |
| Entertainment: |
______________________________________________ |
| Other Expenses: |
______________________________________________ |
| TOTAL MONTHLY EXPENSES: |
______________________________________________ |
| |
|
| Total Monthly Income: |
______________________________________________ |
| Less Total Monthly Expenses: |
______________________________________________ |
| NET INCOME FOR HOUSING: |
______________________________________________ |
