Household Budget Worksheet, page 1 of 4

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Prepared By:			Date Prepared:
Item	Paid To:		Monthly Amount		Proposed Amount
Housing Costs
Mortgage or Rent
2nd Mortgage
Electric
Phone
Water/Sewer
Fuel: Gas or Oil
Trash Removal
Cable
Supplies
Maintenance/Repairs
Other
Automobile(s)
Payment 1
Payment 2
Insurance
Gas/Oil
Maintenance
Licensing
Other
Insurance
Homeowners
Auto
Life
Health
Disability
Other
Total (this page)