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EXPENSES

Expenses (Monthly)

Rent or Mortgage Payment Car Payment Insurance (Life, Health, Car, Homeowners, etc.) Child Care Child Support Water Gas Telephone Electricity Food Clothes Medical Cable TV or Satellite TV Pager Cell Phone Loan and Debt Payments Outstanding Loans (list type of Loans)

Credit Card Debt (list name of cards)

Balance: $

__________

Balance: $__________ Other Monthly Expenditures (Describe)

TOTAL MONTHLY EXPENSES

Other Expenses Not listed Above:

Monthly Payment

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