Household Budget Worksheet, page 2 of 4

	page 1 | page 2 | page 3 | page 4
Prepared By:			Date Prepared:
Item	Paid To:		Monthly Amount		Proposed Amount
Food & Groceries
Groceries
Meals Outside the Home
Other
Professional Fees
Physician
Dentist
Eye Care
Veterinarian
Hair Stylist/Barber
Attorney
Other 1
Other 2
Other 3
Entertainment & Travel
Movies/Video Tapes
Dining Out
Sporting Events
Concerts
Travel
Other
Clothing
Purchases
Cleaning & Repair
Other
Total (this page)