Personal Monthly Budget Worksheet - The Ossining Micro Fund
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1Monthly Budget Worksheet
Monthly Amount
MONTHLY EXPENSES
Home Expenses
Rent or Mortgage Payment
Utilities
Name of Applicant: _____________________________
Cable/Internet/House Phone Cost
Cell Phone Cost
Date of Application: _________
Food Cost
Toiletries - Personal Care Costs
Number of adults in household (18 years old or older): _________
Transportation
Number of children in the household (below 18 years old): _________
Gasoline
Bus/Train
Car Loan Payment
MONTHLY INCOME
Monthly Amount
Car Insurance
"Net Pay" (Take Home Pay after all deductions)
Debts/Loan Payments
Other Household Income:
Credit Card Payments
1)
Repayment of Loans from Family/Friends
2)
Student/Education Loans
3)
Other Debt/Loan Payments
Income from Government (after all deductions)
Child Care Cost
Social Security
Disability
Laundry Services
Veterans Benefits
Public Assistance/TANF
Medical/Dental Expense
Food Stamps
Unemployment Insurance
Religious Donations/Cost
Other
Entertainment
Child Support
Other Expenses (Please List)
1)
Alimony/Maintenance
2)
Total MONTHLY Income
Child Support that YOU pay
- Total MONTHLY Expenses
Alimony that YOU pay
Remainder
Total MONTHLY Expenses
OMF Budget Worksheet 8/23/2015
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Parent category: Financial