| Income | |
| Take Home Pay/All family members | |
| Child Support/Alimony | |
| Pension/Social Security | |
| Disability/Other Insurance | |
| Interest/Dividens | |
| Other | |
| Total Income | |
| Expenses | |
| Rent/Mortgage | |
| Life Insurance | |
| Health/Disability Insurance | |
| Vehicle Insurance | |
| Homeowners or Other Insurance | |
| Car Payments | |
| Other Loan Payments | |
| Savings/Pension Contribution | |
| Utilities | |
| Credit Card Payments | |
| Car Upkeep | |
| Clothing | |
| Personal Care Products | |
| Groceries | |
| Food prepared outside the home | |
| Medical/Dental Prescriptions | |
| Household Goods | |
| Recreation/Entertainment | |
| Child Care | |
| Education | |
| Charitable Donations | |
| Miscellaneous | |
| Total Expenses = | |
| Remaining Income After Expenses = |
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Reprinted from REALTOR® Magazine Online by permission of the NATIONAL ASSOCIATION OF REALTORS® . Copyright 2003. All rights reserved.