Worksheet
Estimated Monthly Income and Expense
Estimated Monthly Income:
1. Paychecks (Net/"Take Home")	$
2. Interest/Dividends	$
3. Social Security/Pension	$
4. Alimony/Child Support	$
5. Other	$
6. Total Estimated Monthly Income (Add lines 1 through 5)	$
Estimated Monthly Expenses:
7. Mortgages/Rent	$
8. Homeowner's/Renter's Insurance	$
9. Real Estate Taxes	$
10. Water & Sewer	$
11. House Repairs	$
12. Groceries	$
13. Telephone	$
14. Gas (House)	$
15. Electric	$
16. Credit Cards	$
17. Car Payments	$
18. Car Insurance	$
19. Licenses (Car)	$
20. Gas (Car)	$
21. Car Repairs/Maintenance	$
22. Clothing	$
23. Medical/Dental	$
24. Medical Insurance	$
25. Prescriptions	$
26. Loan Payments (Not included in Line 7 or 17)	$
27. Tution	$
28. Contributions	$
29. Cellular Telephone	$
30. Pager	$
31. Recreation/Vacation	$
32. Other Insurance	$
33. Income Taxes	$
34. Alimony/Child Support	$
35. Transportation	$
36. Miscellaneous	$
37. Other	$
38. Total Estimated Monthly Expenses (Add lines 7 through 37)	$
38. *Excess/Deficit (Subtract Line 38 from Line 6)	$
*If Line 38 is greater than Line 6, your estimated monthly expenses exceed your estimated monthly income.