| Current
Housing Expenses |
Average
Monthly Payment |
|
Rent |
$ _______________ |
|
Utilities |
$
_______________ |
| |
__________________________ |
$
_______________ |
| |
__________________________ |
$
_______________ |
| |
__________________________ |
$
_______________ |
| |
__________________________ |
$
_______________ |
 |
| Current
Non-Housing Expenses |
|
|
Food & Clothing |
$
_______________ |
|
Day Care/Tuition |
$
_______________ |
|
Auto Insurance,
Repairs, Gas & Oil |
$
_______________ |
|
Health Care/Other
Insurance |
$
_______________ |
|
Entertainment |
$
_______________ |
|
Taxes |
$
_______________ |
|
Telephone |
$
_______________ |
|
Other |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
|
|
| Debt
Payments |
|
|
Car loans |
$
_______________ |
|
Credit Cards |
$
_______________ |
|
Other Loans |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
| |
___________________________ |
$
_______________ |
|
|
| Savings |
$
_______________ |
|
|
| Total
Monthly Expenses & Savings |
$ _______________ |
