Welcome New Clients!
Bankruptcy
Budget Sheet
(Please print, complete & bring
with you)
Name:
Spouse's Name:
Address:
County:
Email:
Tel Number:
How much money
do you earn each month before taxes? (Gross) $_____
How much money
does your spouse earn each month before taxes? (Gross) $_____
How much money
do you earn each month AFTER taxes? (Net) $_____
How much money
does your spouse earn each month AFTER taxes? (Net)
$_____
How many people
live in your household? _____
In
the last SIX months how much money has your household earned
total? _____
Expense Information:
Monthly Rent or Mortgage $_____
Monthly Auto
Payment #1 $_____
Monthly Auto Payment #2 $_____
Monthly Child
Support Payment $_____
Monthly Electricity Bill $_____
Monthly Phone
Bill $_____
Monthly Gas/sewer/trash $_____
Monthly Cable /
Internet $_____
Monthly Auto Insurance $_____
Monthly Food
Expenses $_____
Auto Gas and Oil Expenses $_____
Student Loan
Payments $_____
Daycare $_____
Ongoing Regular
Medical Expenses $_____
Recreation
Expenses (meals out, movies) $_____
We thank you for coming as
prepared as possible, and look forward to meeting with you.
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