Budgeting Worksheet


Name
Date of Birth
/ / (mm/dd/yyyy)
Best Way to Contact You
Phone
Email
Preferred Branch
North Haven
New Haven íV Whitney Ave.
Hamden
Guilford
Branford
Wallingford
Orange

BUDGETING WORKSHEET
INCOME
Monthly gross income $
Add: Any additional income (child support etc.) $
Total Monthly Gross Income $
Subtract: Taxes, Health Ins. & Other Payroll Deductions $
Subtract: Savings, 401K, etc. $
Total monthly spending income $
 
MONTHLY EXPENSES
MONTHLY HOUSING EXPENSES Monthly Payment
Rent or Mortgage $
Utilities $
Insurance $
Repairs $
Taxes $
Total Housing Expenses $
CAR EXPENSES Monthly Payment
Loan Payment (s) $
Gas $
Insurance $
Maintenance & Repair $
Total Car Expenses $
DEBTS Monthly Payment
Creditor #1
Balance
$
 
$
Creditor #2
Balance
$
 
$
Creditor #3
Balance
$
 
$
Creditor #4
Balance
$
 
$
Total Credit Card & Other Debt $
MISCELLANEOUS Monthly Payment
Charitable Contributions $
Groceries, Lunches, Meals Out $
Childcare/Support $
School Tuition/Supplies $
Medical Bills & CoPays $
Prescription Medicines $
Pet Supplies & Vet Exams $
Entertainment, Cable, Video Rentals $
Club Dues $
Newspapers, Magazine Subscriptions $
Clothing $
Haircuts $
Gifts $
Other $
Total Miscellaneous $
Total monthly expenses $
Monthly Surplus or Shortage $

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