Personal Income Statement

 

 


 

Your Name

 

Email Address

 

 

 

 

Monthly income (from all sources)

 

1.

Employment

2.

Social Security

3.

Child Support/Alimony/Spousal Maintenance

4.

Other (list separately)

 

 

 

 

Monthly Expenses (from all sources)

 

1.

Mortgage/Rent

2.

Utilities (telephone, electric, gas, water,cable)

3.

Child support/Alimony/Spousal Maintenance

4.

Auto payment(s)

5.

Insurance (Auto/Health)

6.

Cell phone(s)

7.

Credit card(s), Department store charge cards

8.

Food

9.

Groceries

10.

Gas

11.

Other

 

 

 

 

 

 

 

 

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