| EXPENSES |  |
| Rent/Mortgage (include taxes, principal, and insurance) |  |
| Life Insurance |  |
| Health/Disability Insurance |  |
| Vehicle Insurance |  |
| Homeowner’s or Other Insurance |  |
| Car Payments |  |
| Other Loan Payments |  |
| Savings/Pension Contribution |  |
| Utilities (gas, water, electric, phone) |  |
| Credit Card Payments |  |
| Car Upkeep (gas, maintenance, etc.) |  |
| Clothing |  |
| Personal Care Products (shampoo, cologne, etc.) |  |
| Groceries |  |
| Food Outside the Home (restaurant meals and carryout) |  |
| Medical/Dental/Prescriptions |  |
| Household Goods (hardware, lawn, and garden) |  |
| Recreation/Entertainment |  |
| Child Care |  |
| Education (continuing education, classes, etc.) |  |
| Charitable Donations |  |
| Miscellaneous |  |
| Total Expenses |  |
Remaining Income After Expenses
(Subtract Total Income from Total Expenses) |  |
