| 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 = | |
