FINANCIAL WORKSHEET

 

Amount of monthly unemployment compensation________________________________

Amount of monthly rent or mortgage payments__________________________________

Amount of monthly utility bills_______________________________________________

Amount of monthly food expense_____________________________________________

 

On all installment loans the following must be provided:

            Monthly payment____________________________________________________

            Due date of loan payment______________________________________________

            Loan balance________________________________________________________

            Is it secured? _____________________If so, by what________________________

 

On home mortgages the following is necessary:

            Monthly payment____________________________________________________

            Does it include real estate taxes and insurance?________

                        If not, what it the monthly amount for both__________________________

            Balance owing on home_______________________________________________

            Estimated current market value of home___________________________________

 

List all other debts with amount you owe and the required monthly payment, such as:

            Doctor_____________________________________________________________

            Dentist_____________________________________________________________

            Credit cards_________________________________________________________

            Schooling or childcare provision_________________________________________

            Misc. debt or expenses________________________________________________

 

 


 

MONTHYLY INCOME DURING UNEMPLOYMENT

 

Net Salary & Wages (take home pay) 

            First Person                                          __________

            Second Person                                     __________

            Other Income                                       __________

                        TOTAL INCOME                                                     A. _______________

 

Monthly Living Expenses

            Groceries                                             __________

            Automobile-   Gas                                __________

                                    Oil                                __________

                                    Repairs             __________

            Utilities-            Electric             __________

                                    Gas                              __________

                                    Water/City                   __________

                                    Telephone                    __________

                                    Other                           __________

            Laundry and Cleaning                           __________

            Clothing                                                __________

            Medical (co-pays, prescriptions)           __________

            Insurance-        Medical                        __________

                                    Dental                          __________

                                    Life                              __________

                                    Auto                             __________

            Child Care                                            __________

            Subscriptions                                        __________

            Memberships/Dues                               __________

            Education                                             __________

            Church                                                 __________

            Charities and Donations                        __________

            Miscellaneous                                       __________

                        TOTAL MONTHLY EXPENSES                            B. _______________

 

Fixed Monthly Expenses          

            Rent or Mortgage                                 __________

            Home Insurance                                   __________

            Real Estate Taxes                                 __________

            Auto Loans                                          __________

            Personal Loans                         __________

            Credit and Bank Cards             __________

            Credit Loans (i.e. furniture)                   __________

            Other monthly payments                       __________

                        TOTAL FIXED EXPENSES                         C. _______________

 

                                    NET INCOME          (A-B-C=NET) __________________

 *Try to set aside a minimum of 20% of net income each month for incidentals and emergency expenses.

 

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