| 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 = |
 |