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Net income
Net income :
Spouse income :
Family allowance :
Pension/annuities :
Alimony/child support :
Rental income :
Other :
Total income :
Expenses
Child/spousal support :
Child care :
Health related expenses :
Fines/Penalties :
Employment-related expenses :
Debts where stay has been lifted :
Income tax :
Rent/mortgage :
Property taxes :
Home insurance :
Heating (if other than electric) :
Groceries :
Clothing :
Life insurance :
Car insurance :
Children's activities :
Electricity :
Cable :
Telephone :
Health insurance :
Auto expenses (fuel, repairs, maintenance, monthly payment) :
Transportation (bus, taxi, car pool) :
Laundromat/dry cleaning :
Cigarettes, tobacco, alcohol :
Other :
Total income :
Total expenses :
Surplus/Deficit :
