BUDGET WORKSHEET
         
Monthly Take Home Income
 
Secured Debts (Monthly Payments)
Salary/Wages (personal) ________________   Rent ________________
Salary/Wages (spouse) ________________   1st Mortgage ________________
Social Security ________________   2nd Mortgage ________________
Pension/Retirement ________________   Land Lease (trailer park, other) ________________
Interest on Accounts ________________   Student Loans ________________
Investment Dividends ________________   Auto Loans/Leases ________________
Unemployment/Food Stamps ________________   Recreation (boat, ATV, etc.) ________________
Other ________________   Past Due Taxes ________________
Total Take Home Income
________________   Other Debts ________________
      Other Debts ________________
Monthly Living Expenses
  Other Loans ________________
Alimony/Child Support (outgoing) ________________   Other Loans ________________
Auto Gas and Repair ________________  
Total Secured Debt
________________
Auto Insurance ________________      
Cable TV/Satellite Fees ________________  
Unsecured Debt
Charitable Contributrions ________________   Credit Card 1 ________________
Child Care ________________   Credit Card 2 ________________
Childrens' Activities ________________   Credit Card 3 ________________
Clothing Maintenance (laundry, dry cleaning) ________________   Credit Card 4 ________________
Clothing Purchases ________________   Credit Card 5 ________________
Electric Bill ________________   Credit Card 6 ________________
Food (in-home, groceries) ________________   Credit Card 7 ________________
Food (out-of-home - lunch, dining) ________________   Credit Card 8 ________________
Gas and Oil Bill ________________   Personal Loan 1 ________________
Health and Dental Insurance ________________   Personal Loan 2 ________________
Homeowner/Condo Fees ________________   Medical Bill Payment ________________
Homeowners/Renters Insurance ________________   Other ________________
Household Items ________________   Other ________________
Internet Access ________________  
Total Unsecured Debt
________________
Life and Disability Insurance ________________      
Memberships (health club, etc.) ________________  
Summary
Personal Care (grooming) ________________   Total Take Home (Income) ________________
Prescriptions ________________    - Total Living Expenses ________________
Property Services (gardener, pool) ________________    - Total Secured Debt Payments ________________
Security Services (alarm) ________________    - Total Unsecured Debt Payments ________________
Subscriptions (magazines, etc.) ________________  
Disposable Income
________________
Telephone (home, mobile) ________________      
Trash Disposal ________________      
Tuitition and School Supplies ________________      
Water Bill ________________      
Other Expenses ________________      
Other Expenses ________________      
Other Expenses ________________      
Total Monthly Living Expenses
________________