Net income
Net income:	$
Spouse income:	$
Family allowance:	$
Pension/annuities:	$
Alimony/child support:	$
Rental income:	$
Other income:	$
Total income:	$
Expenses
Child/spousal support:	$
Child care:	$
Health related expenses:	$
Fines/Penalties:	$
Employment-related expenses:	$
Debts where stay has been lifted:	$
Income tax:	$
Rent/mortgage:	$
Property taxes:	$
Home insurance:	$
Heating (if other than electric):	$
Groceries:	$
Clothing:	$
Life insurance:	$
Car insurance:	$
Children's activities:	$
Electricity:	$
Cable:	$
Telephone:	$
Health insurance:	$
Auto expenses (fuel, repairs, maintenance, monthly payment):	$
Transportation (bus, taxi, car pool):	$
Laundromat/dry cleaning:	$
Cigarettes, tobacco, alcohol:	$
Other:	$
Total expenses:	$
Surplus/Deficit:	$