1. Household Financial Information
A budgeting worksheet for those looking for options to foreclosure.
INCOME
Source of Income Last Month This Month Future Projected* * If any event will reduce income,
Employment $- $- $- like a pending lay off.
Overtime
Child Support/Alimony
Pension
Interest
Public Benefits
Dividends
Trust Payments
Royalties
Rents Received
Other (itemize/list below)
Monthly Total $- $- $-
Notes / What will affect your income in the future?
EXPENSES
Type of Expense Last Month This Month Future Projected* * If any event will reduce income,
Payroll Deductions like a pending lay off.
Income Tax Withheld $- $- $-
Social Security
FICA
Wage Garnishments
Credit Union
Other
Home Related
Mortgage or Rent
Second Mortgage
Third Mortgage
Real Estate Taxes
Insurance
Condo/Association Fees
Home Maintenance
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2. Utilities
Gas
Electric
Oil
Water/Sewer
Telephone: Land Line
Telephone: Cell/Mobile
Cable/Satellite TV
Internet
Other
Food
Eating Out
Groceries
Clothing
New Purchases
Laundry & Cleaning
Medical
Current Needs
Prescriptions
Dental
Insurance Premiums
Other
Transportation
Car Payments
Auto Insurance
Gas
Maintenance
Public Transportation
Credit Cards (List Below)
1
2
3
4
5
6
7
8
9
10
Misc Debt
Life Insurance
Alimony or Support Paid
School Expenses
Student Loan Payments
Entertainment
Newspapers/Magazines
Charity/Church
Pet Expenses
Other Expenses (Describe)
1
2
3
4
5
6
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3. 7
8
9
10
Monthly Total $- $- $-
Notes / Anticipated Changes?
INCOME and EXPENSE TOTALS
Monthly Totals Last Month This Month Future Projected
Income $- $- $-
Expenses $- $- $-
Excess Income or Shortfall $- $- $-
OTHER ASSETS
Consider these to temporarily cover any shortfall. Amount/Value
Savings $-
Pending court cases/settlements
Anticipated tax refunds
Assets which can be sold
Pension or retirement funds
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