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Budget Analysis (Long Form)
Members of Household:          
Income   Weekly Monthly Yearly     Weekly Monthly Yearly
Income: $ Spouse Income: $
Pension: $   Spouse Pension: $  
Social Security: $   Spouse Social Security: $  
Business Income: $   Rental Income: $  
Child Support: $   Alimony: $  
Interest Dividends: $   Other Income: $  
Expenses                
Housing   Weekly Monthly Yearly     Weekly Monthly Yearly
Rent/ Mortgage: $   2nd Rent-Mortgage: $  
Property Taxes: $   Home Maintenance: $  
Home Insurance: $   Parking-Storage Fees: $
Utilities   Weekly Monthly Yearly     Weekly Monthly Yearly
Electricity: $   Water/Sewage: $  
Cell Phone: $   Gas: $  
Telephone: $   Oil: $  
Household Expenses Weekly Monthly Yearly     Weekly Monthly Yearly
Furniture: $   Home Decor: $  
Appliances: $   Cleaning Services: $
Baby Sitting/Day Care: $ Lawn Services: $
Pest Control: $   Storage: $
Laundry Services: $  
Groceries-Personal Care Weekly Monthly Yearly     Weekly Monthly Yearly
Groceries-Food-Home Supplies: $ Restaurants: $
Hair: $ Beauty: $
Postal Stationary: $ Lawn/ Garden Supplies: $
Clothing   Weekly Monthly Yearly     Weekly Monthly Yearly
Children Clothing: $   Adult Clothing: $  
Footwear: $   Work Clothes/Uniforms: $  
Accessories/ Jewelry: $            
Transportation Weekly Monthly Yearly     Weekly Monthly Yearly
Car Payment: $   2nd Car Payment: $  
Gas/Motor Oil: $ Car Maintenance: $  
Insurance: $   Trips: $  
Public Transportation: $ Other Transportation: $  
Health Care   Weekly Monthly Yearly     Weekly Monthly Yearly
Health Insurance: $   Medical Services: $  
Medicine: $   Medical Supplies: $  
Dental: $   Dental Insurance: $  
Entertainment Weekly Monthly Yearly     Weekly Monthly Yearly
Periodicals, and Books:  $ Tobacco/Alcohol: $
Movies: $ Sports Events: $
Pets and Food: $ Vet and Pet Services: $  
Cable: $ Games/Hobbies: $
Toys: $ Fees and Admissions: $
TV/Stereo Equipment: $   Other Equipt/Rentals: $  
Monthly Dues: $   Internet:  $   
Support/Contributions   Weekly Monthly Yearly     Weekly Monthly Yearly
Child Support: $   Alimony: $  
Tithe and Donations: $   Gifts: $  
Education   Weekly Monthly Yearly     Weekly Monthly Yearly
Tuition: $   Books: $  
Lunches: $ Other Edu Expenses: $
Miscellaneous Weekly Monthly Yearly     Weekly Monthly Yearly
Life Insurance: $   Other Insurance: $  
Other/Misc: $            

 
 
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