Name:																	Page 1
Date:
											Current						Goal
MONTHLY  INCOME:
	Salary/Wages (Husband)									$						$
	Second job (Husband)									$						$
	Salary/Wages (Wife)									$						$
	Second job (Wife)									$						$
	Bonuses, commissions, allowances, overtime, etc.									$						$
	Business Income (Net of Expenses)									$						$
	Disability benefits									$						$
	Workers' Compensation benefits									$						$
	Unemployment Compensation benefits									$						$
	Pension, retirement, or annuity payments									$						$
	Social Security benefits									$						$
	Alimony or Child Support									$						$
	Interest and dividends									$						$
	Rental income (Net of Expenses)									$						$
	Royalties, Trusts, or Estates									$						$
	Gifts									$						$
	Other:									$						$
	Other:									$						$
Total Income										$	0					$	0
MONTHLY  EXPENSES:											Current						Goal
	CONTRIBUTIONS
		Church								$						$
		Other Charities								$						$
		Family and Friends								$						$
		Other:								$						$
		Other:								$						$
	Total Contributions									$	0					$	0
	SAVING									$						$
	GOVERNMENT/COURT ORDERED/EMPLOYER REQUIRED:
		FICA								$						$
		Federal Income Taxes								$						$
		Health Insurance								$						$
		Retirement Plan								$						$
		Union Dues								$						$
		Child Support and Alimony								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
	Total "Required"									$	0					$	0
Name:																	Page 2
Date:
MONTHLY  EXPENSES:											Current						Goal
	HOUSEHOLD:
		Mortgage/ rent								$						$
		Property taxes & insurance								$						$
		Electricity and Oil								$						$
		Water, garbage, & sewer								$						$
		Telephone (house phone)								$						$
		Telephone (Cable)								$						$
		Telephone (Husband: cell)								$						$
		Telephone (Wife: cell)								$						$
		Cable								$						$
		Repairs and maintenance								$						$
		Lawn and pool care								$						$
		Pest control								$						$
		Food and household items								$						$
		Meals outside home								$						$
		Barber/Beauty shop								$						$
		Cosmetics/toiletries								$						$
		Gifts (birthday, Christmas, etc.)								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
	Total Household									$	0					$	0
	CHILDREN'S EXPENSES
		Nursery or babysitting								$						$
		School tuition								$						$
		School supplies								$						$
		Lunch money								$						$
		Allowance								$						$
		Clothing								$						$
		Medical, dental, Rx								$						$
		Vitamins								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
	Total Children's Expenses									$	0					$	0
Name:																	Page 3
Date:
MONTHLY EXPENSES:
											Current						Goal
	AUTOMOBILE:
		Payment (Car # 1)								$						$
		Gasoline and oil (Car # 1)								$						$
		Repairs (Car # 1)								$						$
		Insurance (Car # 1)								$						$
		Tags and License (Car # 1)								$						$
		Other (Car # 1) ________________________								$						$
		Payment (Car # 2)								$						$
		Gasoline and oil (Car # 12								$						$
		Repairs (Car # 2)								$						$
		Insurance (Car # 2)								$						$
		Tags and License (Car # 2)								$						$
		Other (Car # 2) _________________________								$						$
	Total Automobile Expense									$	0					$	0
	INSURANCE:
		Health								$						$
		Life								$						$
		Disability								$						$
		Umbrella								$						$
		Other:								$						$
		Other:								$						$
	Total Insurance									$	0					$	0
	OTHER EXPENSES:
		Dry cleaning and laundry								$						$
		Clothing								$						$
		Medical, dental Rx								$						$
		Grooming								$						$
		Gifts								$						$
		Pets								$						$
		Professional/business memberships								$						$
		Social/health memberships								$						$
		Newspapers and Periodicals								$						$
		Entertainment								$						$
		Vacations								$						$
		Bank Charges								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
		Other:								$						$
	Total Other Expenses									$	0					$	0
Name:																	Page 4
Date:
											Gross		Interest				Minimum
											Amount		Rate				Monthly
	DEBT REPAYMENT:										Due						Payment
		Items not included previously
			Visa account # ________________________							$				%		$
			Visa account # ________________________							$				%		$
			MasterCard account # __________________							$				%		$
			MasterCard account # __________________							$				%		$
			Discover account # _____________________							$				%		$
			Amex account # _______________________							$				%		$
			Store: _______________________________							$				%		$
			Store: _______________________________							$				%		$
			Family (specify): _______________________							$				%		$
			Family (specify): _______________________							$				%		$
			Other: _______________________________							$				%		$
			Other: _______________________________							$				%		$
		Sub Total								$	0					$	0
		Items included previously
			Home Mortgage							$				%		$
			Second Mortgage/Line of Credit							$				%		$
			Car # 1							$				%		$
			Car # 2							$				%		$
		Sub Total								$	0					$	0
	Total Debt									$	0					$	0
							Monthly Income & Expense Summary
											Current						Goal
	Income									$	0					$	0
	Expenses:
		Tithes and Offerings								$	0					$	0
		Savings								$	0					$	0
		Government/Court Ordered/Empolyer Required								$	0					$	0
		Household								$	0					$	0
		Automobile								$	0					$	0
		Insurance								$	0					$	0
		Children								$	0					$	0
		Debt Repayment								$	0					$	0
		Other								$						$
	Total Expenses									$	0					$	0
	Net Cash Flow									$	0					$	0