| INCOME | EXPENSES | ||
| Earned Income | Fixed Expenses | ||
| Salary and Wages
(1) (2) Bonus Self-Employment Income Annuities/Pensions Alimony/Child Support Other Other |
$__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ |
Housing - Rent/Mortgage Utilities Loan Payments Taxes - Federal and State - Social Security - Property Insurance Premiums Auto Loan Other |
$_________
$_________ $_________ $_________
|
| Total Earned Income | $__________ | Total Fixed Expenses | $_________ |
| Investment Income | Variable Expenses | ||
| Interest
Dividends Rental Income Other Other |
$_________ $_________ $_________ $_________ $_________ |
Food
Clothing Travel/Recreation Household Maintenance Transportation Education Medical Expenses Church and Charity Spending Money Other Other |
$_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ |
| Total Investment Income | $_________ | Total Variable Expenses | $_________ |
| Total INCOME | $_________ | Total EXPENSES | $_________ |
| TOTAL INCOME
less TOTAL EXPENSES= |
$_________
$_________ |
||
| Surplus/(Deficit) | $_________ |