Housing
Rent or mortgage__________________
Condominium fees or taxes _________
Power, water, sewage _____________
Heating costs ____________________
Telephone ______________________
Cable __________________________
Food
Groceries & "non-food" ___________
Restaurants & fast food ___________
Clothing
Monthly purchases _______________
Dry cleaning ____________________
Transportation
Car loan or lease ________________
Gas & oil ______________________
Parking _______________________
Bus/taxi _______________________
Car insurance (monthly) ___________
Medical & Insurance
Health Care/Blue Cross ___________
Life insurance (monthly) ___________
Prescriptions ___________________
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Recreation
Entertainment, sports, hobbies _______
Liquor & cigarettes _______________
Babysitting _____________________
Contributions
Church & charities _______________
Miscellaneous
Child support ___________________
Daycare _______________________
Personal care & hair ______________
Personal allowances ______________
Bank service charges _____________
Books & magazines ______________
Newspaper ____________________
Other (specify) __________________
Savings &Investments _______
Total Monthly Debt Payments _______
Monthly Expense Total $______
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