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Budget Analysis (Short Form)
Members of Household: 
Income Monthly Yearly     Monthly Yearly
Income: $ Spouse Income: $
Retirement: $ Social Security: $
Alimony/Child Support: $ Other Income: $
Expenses Monthly Yearly     Monthly Yearly
Rent/Mortgage: $ Home Maintenance: $
Electricity: $ Water: $
Telephone: $ Gas/Oil: $
Cable: $ Internet: $
Food/Groceries: $ Clothing: $
Household Expenses: $ Baby Sitting/Day Care: $
Car Payment: $ Car Maintenance: $
Gas/Motor Oil: $ Other Transportation: $
Auto Insurance: $ Home Insurance: $
Health Insurance: $ Life Insurance: $
Other Insurance: $ Medical Services: $
Alimony/Child Support: $ Education: $
Entertainment: $ Tithe and Donations: $
Other/Misc: $        

 

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