Income

Take Home Pay/All family members

Child Support/Alimony

Pension/Social Security

Disability/Other Insurance

Interest/Dividends

Other

Total Income

Expenses

Rent/Mortgage

Life Insurance

Health/Disability Insurance

Vehicle Insurance

Homeowners or Other Insurance

Car Payments

Other Loan Payments

Savings/Pension Contribution

Utilities

Credit Card Payments

Car Upkeep

Clothing

Personal Care Products

Groceries

Food prepared outside the home

Medical/Dental/Prescriptions

Household Goods

Recreation/Entertainment

Child Care

Education

Charitable Donations

Miscellaneous

Total Expenses=

Remaining Income After Expenses=