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2
3
 MONTHLY INCOME AND EXPENSE
4
5
6
GROSS INCOME PER MONTH
4,083.33 8.
Entertainment/Recreation
-
7
 Salary 4,083.33 Eating Out
8
 Interest
BabySitters
9
 Dividends
Activites/Trps
10
Other( )
Vacation
11
Other( )
Other( )
12
Other( )
13
 LESS:
14
1.
Tithe(10% Estimated)
408.33 9. Clothing 45.00
15
2.
Tax(Est.-Include Fed., State, FICA)
623.82
16
 A.
*Federal Withholding
312.67 10. Savings
17
 B.
State Withholding
18
 C. FICA 311.15 11.
Medical Expenses
-
19
 Doctor
20
NET SPENDABLE INCOME
3,051.18 Dentist
21
Prescription Drugs
22
3. Housing 2,035.00
Other( )
23
Mortgage/Rent
1,375.00
Other( )
24
 Insurance
25
Real Estate Taxes
12.
Miscellaneous
150.00
26
 Electricity
Toiletry and Cosmetics
25.00
27
 Gas
Beauty/Barber
28
 Water
Laundry and Cleaning
34.00
29
 Sanitation
Allowances and Lunches
30
Telephone/Cell Phone
150.00
Subscriptions
46.00
31
Internet and Cable
120.00
Gifts(Include Christmas)
45.00
32
 Maintence Cash
33
Home Security
Maintence
34
Other( )
Other( )
35
Other( )
Other( )
36
37
4. Food 500.00
Investments
38
13.
39
5.
Automobile
390.00
School/Child Care
40
 Payments 14. Tuition -
41
 Gas and Oil 240.00 Materials
42
 Insurance 115.00
Transportation
43
License/DMV Taxes
35.00 Day Care
44
Maint/Repair/Replace
Other( )
45
Other( )
46
6. Insurance -
47
 Life
TOTAL EXPENSES
48
 Medical 3,120.00
49
 Insurance
50
Other( )
INCOME VERSUS EXPENSES
Net Spendable Income
51
Less Expenses
3,051.18
52
7. Debts -
Income(+)/ Deficit(-)
3,120.00
53
 Credit Card (68.82)
54
Loans and Notes
55
Other( )
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100