Monthly Income and Expense Worksheet
Client name:   
Spouse name:   
Monthly Combined Household Income $
Other Income (Including alimony or child support) $
Total Income: $


Cost of Living/Incoming Bills of Living/Incoming Bills
Food $
Household items $
Clothing $
Laundry / Dry Cleaning $
Utilities (Electric, Gas, Water, Trash, Etc.) $
Telephone (Cellular, Pager, Internet) $
Auto Gas and Maintenance $
Education (Tuition, school supplies) $
Auto Insurance $
Home Owner's/Renter's Insurance $
Life Insurance $
Medical Care (Insurance, Cobra, prescriptions, dentist) $
Entertainment $
Child Care/Child Support/Alimony $
Cable TV/Satellite $
Personal Care (hair cut, vitamins, nails, etc.) $
Gifts/Contributions/Donations $
Mortgage/Rent $
Auto Loans/Lease $
Student Loans/Taxes $
Miscellaneous/Other $
Total: $
 
 

 






 

 

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